Employers for Education Excellence Award

Sponsored by the Texas State Board of Education
I. EMPLOYER INFORMATION
Employer's Name*
Type of Business*
Examples: financial institution, restaurant, law firm, day care center, etc.
Employer's Address*

Street Address

Street Address Line 2

City

Zip Code
Employer Contact's Email Address*
example@example.com
Employer Contact's Phone Number*
Has this business received an Employers for Education of Excellence award in the past 3 years?*

YESNO
If you answered "YES" above, please indicate year and level of award received:*

Bronze AwardSilver AwardGold Award
Year Received*
Employer's State Board of Education Representative (NOTE: To find out which district the employer is located at, copy and paste this link on your browser, www.fyi.legis.state.tx.us and type in the employer's address.)*

District 1, Melissa OrtegaDistrict 2, LJ FrancisDistrict 3, Marisa Perez-DiazDistrict 4, Staci ChildsDistrict 5, Rebecca Bell-MetereauDistrict 6, Will HickmanDistrict 7, Julie PickrenDistrict 8, Audrey YoungDistrict 9, Keven EllisDistrict 10, Tom MaynardDistrict 11, Patricia HardyDistrict 12, Pam LittleDistrict 13, Aicha DavisDistrict 14, Evelyn BrooksDistrict 15, Aaron Kinsey
II. ELIGIBILITY CRITERIA
Please select an award level. Employer must meet all criteria in selected award level:

BRONZE Award

To be considered for the bronze award, the employer must meet the following criteria:
- Has a policy or procedure that allows employees to attend parent-teacher conferences during regular work hours.
- Maintains records that show evidence that employees attended parent-teacher conferences, or provides a signed letter from the human resources director or president/chief executive officer confirming that employees may attend parent-teacher conferences.
SILVER Award

To be considered for the silver award, the employer must meet the following criteria:
- Has a policy or procedure that allows employees to attend parent-teacher conferences or take part in school volunteer activities during work time.
- Has a policy or some procedure which tracks employees' volunteer hours.
- Maintains records that show evidence that employees attended parent-teacher conferences or took part in school volunteer activities, or provides a signed letter from a supervisor confirming this participation.
- At least 1% of the employer's workforce with school-age children attends parent-teacher conferences or takes part in volunteer activities on an annual basis.
GOLD Award

To be considered for the gold award, the employer must meet the following criteria:
- Has a policy or procedure that allows employees with school-age children to attend parent-teacher conferences, take part in school activities, or participate in student mentoring activities during work time.
- Establishes a mentoring program in partnership with a local school district for employees to meet and mentor students with the goal of promoting academic success and social interaction. Structured mentoring activities may include one-to-one, group, team, or online mentoring and should be built around regular, frequent contact.
- Has a designated employee who oversees internal coordination of the mentoring program.
- Has a policy or some procedure which tracks employees' volunteer hours and mentoring activities.
- Maintains records that show evidence that employees attended parent-teacher conferences, took part in school volunteer activities, or participated in student mentoring activities, provide a signed letter from a supervisor confirming this participation.
- At least 1% of the employer's workforce participates in mentoring activities for a minimum of one year (or school year) commitment.
Please select an award level:*

Bronze AwardSilver AwardGold Award
III. Describe the school activities employees have actively participated in. (Use the space below to upload file, photos, other documentations you may have to support your application.)

For consideration of silver or gold level recognition, please include the percentage of employees who take part in school activities.
IV. Information about School or District Partner
Name of School or School District*
Address*

Street Address

Street Address Line 2

CityState

Postal / Zip Code
School or District's Contact Person*
Phone Number*

Area CodePhone Number
School or District Contact's Email Address*
V. Declaration by School Official

I declare that all the information provided in this application is correct and true to the best of my knowledge.
Full Name and Title of School Official*
Email and Contact Number*
example@example.com
Date
VI. Declaration

I declare that all the information provided in this application is correct and true to the best of my knowledge.
Signature*

Clear
Date
NOTE: The State Board of Education reserves the right to request additional documentation(s) to determine eligibility for the Employers for Education Excellence Award.
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