N.16 Senior Educator Nomination Form
GOLD WING ROAD RIDERS ASSOCIATION, INC.
RIDER EDUCATION PROGRAM
SENIOR EDUCATOR NOMINATION FORM
Date of Nomination
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In order to be considered for recognition as, and promotion to, a “Senior” Educator, the nominee
must meet the following criteria. The officer nominating the Educator must check off and validate the
following:
That the nominated Educator is, or has demonstrated:
Member oriented with a minimum of disgruntled members or member complaints.
Considered well ABOVE AVERAGE within current position.
Good communications skills.
Current Level IV in the GWRRA Rider Education Program.
Role model for others in the same office.
Willing to assist the next level Educator whenever needed or requested.
Willing and able to provide coaching and mentoring skills to their peer group.
Positive attitude and is pro-active and supportive in administration of the Rider Education
Program and GWRRA.
Successful in achieving low expirations within the Rider Education Program Levels and in
achieving established goals in their current office including the growth of Level IV participants.
Prefer the Black and Gold rocker.
Prefer the Blue/Black/Gold officer rocker.
I would like to nominate
from: Chapter
Appointed to current office on
for promotion to
Region
District
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Appropriate Officers’ Signatures:
(Sr. Chapter/District/Region Educator)
/
(See requirements on nomination form)
Nominating Director:
/
Position
Signature
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Date
Concurring Officers: I agree with the above nomination and approve the promotion.
(Chapter level promotions must be approved by District Officers, District by Region Officers, Region by National Officers)
District Educator
Date
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Date
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Date
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Date
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Date
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Signature
District Director
Signature
Region Educator
Signature
Region Director
Signature
IDRE/NDRE
Signature
Please mail the completed form to obtain the certificate to:
Tim & Anna Grimes
Assistant Director- Rider Education
45833 Kingfisher Ct, Lexington Park, MD. 20653
Note: Senior Rockers are not provided by the International Staff. These are to be obtained through Region/District stores.
Office use only: International Rider Ed Staff: ________________________________________
Revised October 2013