EARCOS Global Citizenship Award - School's Notice Form

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Email *

School Name *

Student First Name *

(Provide correct spelling of student's name you wish to appear on the EARCOS Global Citizenship Award plaque.)

Student Last Name *

(Provide correct spelling of student's name you wish to appear on the EARCOS Global Citizenship Award plaque.)

The above named student is currently in their penultimate year (11th Grade) at your school and intends to return for their senior (12th Grade) *

YES

If NO, Please explain

Please list the two languages in which the named student is conversant. *

The named student:

• understands the interdependence and interconnectedness of both human and ecological issues.
• demonstrates strong collaborative, problem solving, listening, and consensus building skills.
• strives to be well informed on global issues.
• consistently demonstrates a sense of intrinsic voluntarism.
• exhibits extraordinary leadership skills.
• is committed to being an active participant in the coming year's leadership responsibilities.
• is in "good academic standing".

List below the person who acknowledges that the student receiving this award meets the above expectations. *

Does your school’s Global Citizenship Award recipient plan to apply for one of six Community Service Grants *

Yes

Person submitting this form

(This person will be the contact for all future communications regarding this student.)

Complete name *

Job title *

A copy of your responses will be emailed to the address you provided.

Submit

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