Scheidel - Florida State College at Jacksonville

5 downloads 114 Views 79KB Size Report
annually to a currently enrolled student of Florida State College at Jacksonville who has taken action to expand the opp
Scheidel

NOMINATION  FORM  

FOUNDATION

Built on the Love of Family and Community

LEADERSHIP  IN  ACTION  AWARD  

The  Leadership  in  Action  Award  is  an  annual  scholarship  funded  by  the  Scheidel  family.  The  Leadership  in  Action  award  was   established  to  continue  the  legacy  of  Herbert  W.  Scheidel  by  recognizing  and  encouraging  emerging  leaders  within  the   Jacksonville  community  who  go  above  and  beyond  to  positively  impact  the  lives  of  others.  This  recognition  is  awarded   annually  to  a  currently  enrolled  student  of  Florida  State  College  at  Jacksonville  who  has  taken  action  to  expand  the   opportunities  of  others  by  volunteering  with  exceptional  service  to  a  single  community  nonprofit  agency  in  the  FSCJ  service   area.   Candidates  are  selected  through  a  nomination  process  and  self-­‐nomination  is  allowed.   To  be  considered  for  the  Leadership  in  Action  Award  nominees  must  have  been  enrolled  in  FSCJ  and  seeking  a  degree  or   certificate  during  the  time  in  which  the  volunteer  service  was  performed.     Nomination  Due  Date:    February  8,  2017   Student’s  name:    

 

 

 

 

 

 

 

 

 

 

 

Student’s  email  and  phone  number:  ____________________________________________________________   Program  of  study:    

 

 

 

 

 

 

 

 

 

 

 

Total  volunteer  hours  completed  per  year:  ______________________________________________________   Name  of  nonprofit  agency  served  by  the  student:  _________________________________________________    

 

 

 

 

 

 

 

 

 

 

 

Agency  contact  person  name,  title,  and  phone  no.:    

 

 

 

 

 

 

 

Agency  address:    

 

 

 

 

 

 

 

 

 

 

 

 

 

Nominee  Requirements:   1. A  one-­‐page  description  of  yourself  and  the  volunteer  work  that  you’ve  completed  along  with   agency  and  why  you  believe  you  are  deserving  of  the  award.*   2. A  letter  of  support  /  recommendation  from  the  nonprofit  agency  where  the  volunteer  hours   were  completed.   3. An  unofficial  Florida  State  College  at  Jacksonville  transcript.  

 

Nominator’s  Name:    

 

 

 

 

 

 

 

 

 

 

Phone:      

 

 

 

 

 

 

 

 

 

 

 

Address:    

 

 

 

 

 

 

 

 

 

 

 

Send  nomination  package  to  [email protected]  or  mail  to:  

 

Scheidel  Scholarship,  Florida  State  College  at  Jacksonville   101  West  State  Street,  A-­‐1093   Jacksonville,  FL  32202