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Purpose LSS Mentoring Services Annual Mentor Appreciation Breakfast honors and celebrates the hundreds of volunteer mentors that work with students throughout the Sioux Empire. Each year, the program recognizes outstanding commitment to mentoring by awarding the Citibank Outstanding Mentor, the Sanford Rookie Mentor and the First Premier/Premier Bankcard Community Partner. Recognition The Annual Mentor Appreciation Breakfast will be held on Friday, April 20 at 7:30 a.m. at The District. All mentors will be thanked and recognized for their service. Nominees will be recognized in the event program and the winners will be announced. All individuals associated with LSS Mentoring Services are invited to attend this free event. Nomination Instructions Complete one nomination form and respond to the nomination questions for each nominee. Nominations for Community Partner do not need a narrative. We ask that you limit your nominations to one per category. Also, please limit your response to one typed page to the narrative questions. Nominations may come from schools, businesses, organizations, fellow mentors, colleagues, friends or family members. Self-nominations are accepted. Nominations are due Monday, February 26. To submit, send the completed nomination to [email protected] , fax to (605) 444-7540 or mail to LSS Mentoring Services, 705 E 41 st Street, Suite 220, Sioux Falls, SD 57105. If a community partner or mentor has not won in the past three years, they are eligible to be nominated again in 2018. Community Partners not eligible this year are Sanford (2015), Oak Hills (2016) and Hegg (2017). Rookie

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PurposeLSS Mentoring Services Annual Mentor Appreciation Breakfast honors and celebrates the hundreds of volunteer mentors that work with students throughout the Sioux Empire. Each year, the program recognizes outstanding commitment to mentoring by awarding the Citibank Outstanding Mentor, the Sanford Rookie Mentor and the First Premier/Premier Bankcard Community Partner.

RecognitionThe Annual Mentor Appreciation Breakfast will be held on Friday, April 20 at 7:30 a.m. at The District. All mentors will be thanked and recognized for their service. Nominees will be recognized in the event program and the winners will be announced. All individuals associated with LSS Mentoring Services are invited to attend this free event.

Nomination InstructionsComplete one nomination form and respond to the nomination questions for each nominee. Nominations for Community Partner do not need a narrative. We ask that you limit your nominations to one per category. Also, please limit your response to one typed page to the narrative questions. Nominations may come from schools, businesses, organizations, fellow mentors, colleagues, friends or family members. Self-nominations are accepted.

Nominations are due Monday, February 26. To submit, send the completed nomination to [email protected], fax to (605) 444-7540 or mail to LSS Mentoring Services, 705 E 41st Street, Suite 220, Sioux Falls, SD 57105. If a community partner or mentor has not won in the past three years, they are eligible to be nominated again in 2018. Community Partners not eligible this year are Sanford (2015), Oak Hills (2016) and Hegg (2017). Rookie Mentor nominations are for volunteers who are in their first two years of the program.

For additional information, please contact LSS at (605) 221-2403 or [email protected]. Thank you for your participation!

2018 Nomination FormAward Category

Citibank Outstanding Mentor

First PREMIER Bank/PREMIER Bankcard Community Partner (do not need to complete the nomination narrative)

Sanford Rookie Mentor (for mentors in their first two years of service)

Nominator Information

Name:       Organization:      

Address:      

E-mail:       Phone:      

Nominee Information

Name/Organization:      

Individual’s Employer/Organization Contact Person:      

Address:      

E-mail:       Phone:      

Nomination Narrative – Outstanding Mentor & Rookie Mentor Nominations OnlyRespond to the questions below on a separate sheet. Please limit answers for all questions to one page.

1. How did this nominee get started in mentoring? What changes have you seen in this volunteer since starting to mentor?

2. In what ways is this nominee’s involvement unique, innovative or creative? Provide examples in the form of stories or quotes if possible.

3. What personal characteristics and/or mentoring methods make this nominee a successful volunteer?

4. Briefly describe the student(s) this mentor has helped.