2022 Area Council Award Application - Awards for Program Impact & Excellence

2022 Area Council Program Award Application

Contact your DOD or Joe Ethier with any questions.

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* 1. Please select your state:

Mississippi

Louisiana

Alabama

Georgia

South Carolina

North Carolina

Virginia / DC

Florida

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* 2. Award Program Category (select one)

Academic Success

Good Character & Citizenship

Healthy Lifestyles

Virtual Programming Excellence

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* 3. Date:

Date / Time

Date

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* 4. Program Name:

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* 5. Unit Name:

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* 6. Organization Name:

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* 7. Person Submitting Entry:

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* 8. Title:

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* 9. Email Address:

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* 10. CEO Name:

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* 11. CEO Email Address

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* 12. Program Infomation:

Number of participants:

Age range program served:

Total program hours:

Program start date:

Program end date:

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* 13. Program Needs Assessment: Please describe the specific local needs that the program addresses. Please be specific.

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* 14. Program Description: Please describe the purpose, objectives and day-to-day activities of the program. Please attach appropriate support documents such as news articles, photos, program flyers, case statements, etc.

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* 15. Program Impact: Please describe how you determine the effectiveness of the program. Who was involved in this process? What specific tools did you use to assess effectiveness? What were the results? Please be as specific as possible.

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* 16. Supporting Documentation: Please upload any supporting documents here:

PDF, DOC, DOCX, PNG, JPG, JPEG, GIF file types only.

Choose File