Georgia District Service Excellence Award
This form is to be used to apply for the Georgia District Service Excellence Award - highlighting a service project to raise awareness and/or fundraiser for the Start Strong:Zambia (with UNICEF), Children’s Miracle Network Hospitals, March of Dimes or the Thirst Project. Completed form must be submitted by February 3, 2023. A club may submit up to three entries (one per partner organization).
The Rules
All Key Clubs in the Georgia District that are in good standing are eligible for this award.
The project described must have been completed between March 1, 2022 and February 3, 2023.
This application may contain up to three uploads of newspaper clippings, substantiating photographs, or other pertinent information.
All decisions made by the judges are final.
All entries with satisfactory evidence of participating in a service project to raise awareness and/or fundraiser for the Eliminate Project (with UNICEF) will be awarded.
All entries must be submitted by February 3, 2023.
Name of person completing this form
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First Name
Last Name
Key Club:
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(The name of your school)
Contact E-mail
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example@example.com
School Address
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Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Contact Phone Number
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-
Area Code
Phone Number
Project Description
The Need - 10%
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This should be a statement describing how the project deals with the objectives of the partner organization.
The Plan - 25%
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Describe how the project was organized.
Public Awareness - 20%
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Describe how the project was publicized and who else participated.
Final Results - 25%
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Describe the benefits of the service rendered, including the final amount of funds raised if any).
Percent of Club Participation - 10%
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Number should be indicated as a percentage - the number of members that participated divided by the total number of members that were submitted on the club roster for the 2022-2023 year.
Cost - 10%
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List the total amount of funds spent (if any) for the project. If no funds were spent, indicate 0 in the answer field.
Supporting Evidence 1
Upload supporting evidence (newspaper clipping, photographs, or other item).
Supporting Evidence 2
Upload supporting evidence (newspaper clipping, photographs, or other item).
Supporting Evidence 3
Upload supporting evidence (newspaper clipping, photographs, or other item).
By submitting my digital signature below, I certify that all of the information submitted with this application is accurate and that a Key Club member (or members) prepared the application and the information submitted is accurate.
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