Jesus Girls Rock Award Show Application

Directions: Please take your time to complete this application and upload all required documents along with complete the required essays before final submission. If you encounter any difficulties when completing this application, then please contact us immediately at info@jesusgirlsrock.org or call us at 214-771-7349.

Please select one*

I am nominating a female executive of a non-profit organization for an award.I am nominating a male executive of a non-profit organization for an award.I am a female executive of a non-profit organization nominating myself for an award.I am a male executive of a non-profit organization nominating myself for an award.

What award(s) are you seeking nomination? (Select all that apply)*

The Esther Award - Human Trafficking ($30 entry fee)The Ruth Award – Hunger ($30 entry fee)The Deborah Award - Domestic Violence ($30 entry fee)The Anna Award – Homelessness ($30 entry fee)The Nehemiah Award – Honorary Male ($30 entry fee)

Nominee (This is the person making the nomination.)

First NameLast Name

Nominee's Email

example@example.com

Nominee Phone Number

Please enter a valid phone number.

Candidate (This is the person being nominated by an individual or self-nominating/applying on behalf of oneself.)*

First NameLast Name

Candidate's Street Address

Street Address

Street Address Line 2

CityState

Zip Code

Candidate's Phone Number*

Please enter a valid phone number.

Does this person identify as being Christian or a believer?

YesNo

Name of church where this person is a member

Church Address

Street Address

Street Address Line 2

CityState

Zip Code

Pastor's Name*

First NameLast Name

Name of Non-Profit Organization*

Organization's Address*

Street Address

Street Address Line 2

CityState

Zip Code

Organization's Phone Number*

Please enter a valid phone number.

Candidate’s Organization Email Address*

example@example.com

Non-Profit Organization Social Media Handles*

FacebookTwitterInstagramLinkedin

Facebook Profile URL*

facebook.com/username

Twitter Handle*

@username

Instagram Handle*

@username

Linkedin Profile URL*

linkedin.com/in/username

Please list Non-Profit website*

What year was the non-profit organization founded?*

What is the non-profit organization’s IRS EIN?*

Are you a faith-based organization?*

YesNo

What is the size of your organization?*

Small (Revenue up to $100K)Medium (Revenue of $100K - $1M)Large (Revenue over $1M)

What areas does the non-profit organization support? (Select all that apply)*

HungerHomelessnessHuman TraffickingDomestic Violence

What is the mission of the non-profit organization?*

How has your non-profit organization supported its area of focus?*

List any achievements/awards within the last 3 years in the non-profit sector*

Does your non-profit organization have affiliations or partnerships?*

YesNo

What is your title within the organization?*

CEOFounderExecutive DirectorOther

Enter your title*

How long have you been in the role?*

If yes, please attach a copy of your non-profit organization’s letter of determination*

Have you held an Executive role in the desired award area implementing initiatives and/or programs for at least 3 consecutive years?*

YesNo

Please submit a letter that describes the impact that your non-profit organization has made within the community by a recipient of the program and/or letter of recommendation. (250-word maximum)*

Please submit your bio (250-word maximum)*

Is your non-profit organization listed on GuideStar?*

YesNo

If you selected fair or poor, briefly describe below any challenges the non-profit organization has had regarding garnering community reception and participation.

Essay – What makes you the ideal candidate for this award? How does your style as a leader reflect the leadership traits of Biblical Character(s) aligned with the designed award(s)? (500-word maximum) See traits below.*

The Esther Award (Prayer, Courage, Influence). The Ruth Award (Faith, Gratitude, Perseverance). The Deborah Award (Wisdom, Confidence, Truth). The Anna Award (Boldness, Power, Strength). The Nehemiah Award (Prayer, Vision, Courage).

Submit a professional headshot photograph with a white or black background*

Will you be able to attend the Awards Show in person? Please Note: All winners are responsible for covering all travel and hotel expenses.

YesNo

Total

Total Amount

USDDescription

Student's Name*

First NameLast Name

Student's Street Address*

Street Address

Street Address Line 2

CityState

Zip Code

Student's Phone Number*

Please enter a valid phone number.

Student Email Address*

example@example.com

Student Social Media Handles:

FacebookTwitterInstagramLinkedin

Facebook Profile URL

facebook.com/username

Twitter Handle

@username

Instagram Handle

@username

Linkedin Profile URL

linkedin.com/in/username

Do you identify as being Christian? *

YesNo

Name of church where you are a member*

Church's Address*

Street Address

Street Address Line 2

CityState

Zip Code

Pastor's Name*

First NameLast Name

Name of School*

School's Address*

Street Address

Street Address Line 2

CityState

Zip Code

School's Phone Number*

Please enter a valid phone number.

What degree are you pursuing within the non profit sector?*

What year of college are you currently in?*

FreshmanSophomoreJuniorSenior

Expected Graduation Date?*

Date

Is your GPA 3.0 or higher based on a 4.0 scale?*

YesNo

What is your GPA?*

Please submit an unofficial copy of transcripts*

Which area have you served as a volunteer or intern at a non-profit organization within the last year?*

HungerDomestic ViolenceHomelessnessHuman Trafficking

Please submit your verification letter to validate your internship or community service as referenced in the previous question.*

Are you interested in interning or volunteering with Sheila Tolbert Ministries, Inc.?*

YesNo

Essay – What makes you the ideal candidate for this scholarship? How do you plan to use your degree within the community upon graduation? (250-word limit)*

Please submit a letter of recommendation from either a Pastor, Professor, or Community Service Leader.*

Please submit a professional headshot photograph with a white or black background.*

Jesus Girls Rock Awards Application