CARE (Children Are Reason For Excellence) Award

2019 Louisiana/Mississippi Area Council Awards

This award is given to an individual or business not directly affiliated with a Club organization (such as serving on the governing body or Club staff), but has provided outstanding in-kind or direct support to their local Boys & Girls Clubs or Boys & Girls Clubs across the state.

Deadline for submission is 5 pm on Friday, July 26, 2019.

Contact Shakira Harris, sharris@bgca.org, with any questions about this application form.

Question Title

* 1. Please select your state:

Mississippi

Louisiana

Question Title

* 2. Nominee Name:

Question Title

* 3. Nominee Business and Title:

Question Title

* 4. Boys & Girls Club Name:

Question Title

* 5. Date:

Select month, day, and year

Date

Question Title

* 6. Nominator Name:

Question Title

* 7. Nominator Title:

Question Title

* 8. Nominator Phone Number:

Question Title

* 9. Nominator Email:

Question Title

* 10. Nominee Actions: Please check all that apply to the nominee.

Financial contributor to Boys & GIrls Clubs

In-kind contributor to Boys & Girls Clubs

Recruited new financial support for Clubs

Recruited new partnership to benefit children

Public advocate for Boys & Girls Clubs

Supported public policy to benefit Clubs

Other (please specify)

Question Title

* 11. Impact on Club Members: Please describe how the nominee's actions have helped to improve the impact of Club programs in the past 12 months (i.e. recruited new community partners, serving new communities, in-kind supplies and equipment, etc.)

Question Title

* 12. Other Information: Please describe any other details about the nominee that demonstrates their support for children in your community and or the state.

Question Title

* 13. Supporting Documentation

Please upload any supporting documentation here.

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

Choose File