2017 Gold Circle Application
The following pages are for the New Hampshire Partners in Education 2017 Gold Circle Award. The 2017 Gold Circle Award is given to school and significant volunteer partners based on efforts during the 2016-2017 school year. The application must be submitted by a school representative.

A Blue Ribbon application is required of all Gold Circle schools.


STEP ONE - ON LINE APPLICATION

Please answer all of the questions to file your application.
- Each on-line application will nominate one partner for a school.
- To submit additional partners, submit additional applications for each.

- If we don't understand an entry or if there is any missing information, we will email the person submitting this application, as well as the school principal.

- Each school applying for a Gold Circle Award must have the appropriate documentation to support the response to each question. NHPIE retains the right to review the documentation upon request.

- Schools will be notified by email that the application has been received and all information is complete.  This email will include specific information regarding payment of fees.   Notifications will be sent in August.

STEP TWO - PAYMENT OF REGISTRATION FEE

- A $20 application fee must be submitted before the end of August.  Late application fees (sent after Labor Day) increase to $40. NHPIE may accept late applications and registration fees at the discretion of the board.

- The application fee will cover up to 5 Gold Circle Partners. If a school has more than 5 partners, a second application fee must be submitted. This continues to each successive group of 5 partners. There is no limit to the number of partners for a school.

- The application process will be considered complete after NHPIE receives the application(s) and application fee(s).

- The school principal is responsible for sending in the payment by mail.

The mailing address for the application fee

New Hampshire Partners in Education
c/o Dillard Collins
Hampstead Central School
21 Emerson Avenue
Hampstead NH 03841

STEP THREE - AWARD ANNOUNCEMENT

- Each 2017 Gold Circle School will be notified by email in early September. With the notification there will be registration details of the celebration event at the end of October.

- If you have submitted all of your application materials and not notified by Labor Day, please contact NHPIE at nhpie.board@gmail.com

- It is the responsibility of the school to notify all Gold Circle Partners of the award notification.

STEP FOUR - REGISTRATION AND A SEAT AT THE EVENT IN OCTOBER

- The application fee WILL NOT provide any complimentary seat to the October celebration event.

- All seats will be available for a reasonable fee (estimated to be $30 each).

- It is the responsibility of the school to register all school and partner representatives for the fall event.

PRINT COPY

- If you want a print copy of your application, please print a copy before clicking the submit button.

QUESTIONS

- If you have questions about completing this application,
please contact the board by email at nhpie.board@gmail.com

School Information
Please identify your school with this basic information. We will gather additional school information from your Blue Ribbon Award application. Please remember it is expected that schools receiving the Gold Circle Awards must also submit a Blue Ribbon application.
Name of your school?
Please name your school as listed on your school letterhead
Your answer
Your SAU?
Please provide the SAU number or the SAU name.
Your answer
How many 2017 Gold Circle Partners
How many Gold Circle partners do you plan to nominate?
Your answer
Person completing this application
If this is an application for your first 2017 partner, please answer all questions. If this is an additional 2017 partner, you may skip all but the first two questions.
Primary contact name?
What is the name of primary contact person filing this application?
Your answer
Primary Contact E-mail?
What is the email address of the primary contact person filing this application? Even though there may be multiple people involved with filing this application, we need one person to be primary contact.
Your answer
Primary contact role?
2017 Blue Ribbon
All Gold Circle schools must submit a Blue Ribbon Award. Has your school submitted an application for the 2017 Blue Ribbon Award?
2017 Gold Circle Partnership for the 2016-2017 school year
Each application is for one Gold Circle partner for each school. To nominate additional partners, you will be expected to complete additional applications.
Partner Name?
Please provide name of the Partner (first in this application).
Your answer
Mailing Town and zip code of this partner?
Please be sure to include the town and zip code
Your answer
Partner's web site address?
If the partner has a web site, please provide the web link. If there is no web link, please enter NA
Your answer
Contact Person for this Partnership?
Please identify one person that will be the contact person for this partnership.
Your answer
Number of Volunteers provided by this partner?
How many volunteers are provided to students as a result of this partnership.
Your answer
Number of Volunteer hours provided by this partner?
How many hours are provided to students as a result of this partnership.
Your answer
Type of Partnership?
Choose a category or two that best describes this type of partnership
Description of this partnership.
Please provide one or two sentences to describe the goal of this partnership.
Your answer
Impact on student learning from this partnership.
Please provide one or two sentences to describe the impact on learning.
Your answer
Closing Statements

It is the responsibility of each school to notify their partners, register event participants, and provide payment for event fees.

The application fee must be submitted before the end of August.

Application fees sent after September will increase. NHPIE may accept late applications and registration fees at the discretion of the board.

It is understood that this entry will be reviewed by the Principal prior to its submission, and that it represents a true and accurate description of your school's volunteer program. By applying for the Gold Circle Award, it is understood that New Hampshire Partners in Education may ask the school to provide additional information in support of this application.

It is understood that this entry gives New Hampshire Partners in Education permission to use any of the information in this application for our training, recognition and publicity purposes.

Closing Statements

It is the responsibility of each school to notify their partners, register event participants, and provide payment for event fees.

The application fee must be submitted before the end of August.

Application fees sent after September will increase. NHPIE may accept late applications and registration fees at the discretion of the board.

It is understood that this entry will be reviewed by the Principal prior to its submission, and that it represents a true and accurate description of your school's volunteer program. By applying for the Gold Circle Award, it is understood that New Hampshire Partners in Education may ask the school to provide additional information in support of this application.

It is understood that this entry gives New Hampshire Partners in Education permission to use any of the information in this application for our training, recognition and publicity purposes.

Last Step in the process - PRINT AND CLICK
We recommend you print your application BEFORE clicking the submit button.
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