2019 Mother Seton Honoree Form - Diocesan Home and School Association
The Mother Seton Award was created to honor those individuals whose volunteer service and dedication to home, school and church has been exemplary. This individual should be recognized as an outstanding volunteer and cannot be a paid employee of the school. Strong Catholic values and a selfless dedication to Catholic schools should be manifest in the honoree chosen by your school. Your honoree should have at least three years involvement in your Catholic school community and be an active member of his/her church parish. One volunteer from each school belonging to the Diocesan Home and School Association will be honored at the Home and School Luncheon on Tuesday, May 7, 2019.

A separate Luncheon Reservation Form must also be completed.

The honoree must be approved by your school principal.

Deadline for submission is March 1, 2019.

School Name *
Name of Person Completing Form *
Your answer
School Phone Number *
Please include Area Code
Your answer
Name of School Principal *
Your answer
Name of Home and School President *
Your answer
Phone Number of Home and School President *
Your answer
Email Address of Home and School President *
Your answer
Title of Honoree *
Example: Mr., Mrs, Ms., Miss, Dr. etc.
Your answer
First Name of Honoree *
As it will appear on the award and in the program - Spell Accurately, do not use all lower or all upper case letters.
Your answer
Last Name of Honoree *
As it will appear on the award and in the program - Spell Accurately, do not use all lower or all upper case letters.
Your answer
Honoree Mailing Address *
Complete Street Address or P. O. Box
Your answer
Honoree City, State Zipcode *
Your answer
The program will include a brief outline of the impact this person has had on his/her school community. Give a brief outline of the character and contributions that lead you to choose this honoree to receive the Mother Seton Award. Please keep your response to 40-50 words ONLY. *
What characteristics and attributes of the individual make him/her a person deserving of this award?
Your answer
Nominee Family Information *
Name of Child/Children, grade, and school attending.
Your answer
Home and School Volunteer Efforts *
List the Home and School volunteer efforts of this individual.
Your answer
Non-Home and School Volunteer Efforts *
Volunteer efforts - Church, Parish, School, Community
Your answer
Has this individual been a Mother Seton Award recipient in the past? *
If yes, please name the school. An individual may receive this award more than one if presented by a different school.
Your answer
Photograph of Honoree
A photo (head shot only) of the recipient must be sent in the form of a .jpeg file to Mrs. Joni Herrmann at jherrmann@csobr.org. If you have any problems you can reach her at 225-336-8735.
Color photo preferred. Due by March 15.
Principal's Name *
Your answer
I have knowledge of and fully approve of this Mother Seton nomination *
Submit
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