DA QIAO PRIMARY SCHOOL

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EDUSAVE CHARACTER AWARD (ECHA)

NOMINATION FORM 2017

Name of Student: / Eligibility Criteria: / Singaporean Good conduct
Class: / Nominated by: / Signature:
BC No: / Relationship to Nominee:
CCA & Position held
(if any)

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Points:

School Values
Civic Responsibility
Resilience
Total


The following traits are to be demonstrated by the student on a consistent basis on a scale of 1 to 4.

1 – Demonstrates to Some Extent, 2 – Demonstrates Adequately, 3 – Demonstrates Strongly, 4 –Demonstrates Very Strongly

Values/Traits / 1 / 2 / 3 / 4 / Evidence (If any)
School Values
Compassion
1 / Is thoughtful and considerate in one’s actions
2 / Demonstrates willingness to help others who are less able
3 / Shows empathy towards others
Responsibility
4 / Accepts responsibilities readily and carries them out to the best of one’s abilities
5 / Is honest and dependable
Enterprise
6 / Takes the initiative and is creative in problem solving
7 / Is always receptive to changes
Appreciation
8 / Expresses gratitude in words or in action
9 / Reciprocates kindness
Teamwork
10 / Respects the views of others
11 / Contributes to a positive learning environment
12 / Cooperates with team members harmoniously
Excellence
13 / Strives to achieve to the best of one’s ability
14 / Is a good role model to his/her peers
15 / Seeks to improve continuously

Score:

The following traits are to be demonstrated by the student on a consistent basis on a scale of 1 to 4.

1 – Demonstrates to Some Extent, 2 – Demonstrates Adequately, 3 – Demonstrates Strongly, 4 –Demonstrates Very Strongly

Values/Traits / 1 / 2 / 3 / 4 / Evidence (If any)
Civic Responsibility
Respect:
16 / Obeys school rules
17 / Works towards being a gracious citizen by being kind, courteous and pleasant
Being grateful:
18 / Contributes to school through acts of services
19 / Contributes time and resources to the community
Upholding moral conduct:
20 / Stands up for what is right and accepts consequences for one’s actions
21 / Believes in and does what is right
Care for environment:
22 / Reuses, reduces and recycles to show care for the environment
Harmony:
23 / Understands and appreciates the diverse cultures of different races and religions
24 / Finds ways to maintain and strengthen ties with people of different races
25 / Having a sense of community spirit

Score:
The following traits are to be demonstrated by the student on a consistent basis on a scale of 1 to 4.

1 – Demonstrates to Some Extent, 2 – Demonstrates Adequately, 3 – Demonstrates Strongly, 4 –Demonstrates Very Strongly

Values/Traits / 1 / 2 / 3 / 4 / Evidence (If any)
Resilience
Emotional strength:
26 / Ability to take failure in his/her stride
27 / Has confidence to do better next time
28 / Remains calm during a difficult situation
Being persevering:
29 / Presses on in the face of difficulties or challenges
30 / Putting in effort and care into all tasks
Being optimistic:
31 / Sees the positive side of different situations
32 / Views challenges as opportunities to learn
33 / Willingness to try something new or difficult
Being adaptable and resourceful:
34 / Adapts to changes
35 / Finds creative solutions to challenges independently

Score:

Has the pupil received any character awards for 2017 (for example, Character Building Badges, Character Strength Ticket, Character Award by PSG)? Please specify.

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