New Jersey School Counselor Association (NJSCA) - Most Resilient Award Application, Grades 4-8, 2018
DIRECTIONS: NJSCA will be awarding $100 awards and plaques to five resilient students in grades four through eight. This award recognizes a student who made an amazing turnaround, or overcame a hardship. Please complete the form below. School counselors must be a NJSCA Members. Awards will be presented at our annual NJSCA dinner on May 24th, 2018. If you have any questions, contact Sarah Spence at sspence@franklinboe.org PLEASE SUBMIT BY MARCH 23rd, 2018.
Student's Name *
Your answer
Did you contact this student’s parents/guardian to let them know about the nomination? Did you receive permission to disclose information about them in regards to this nomination? (If no, please contact that student's parent or guardian before proceeding with the application.)
Student's Parent /Guardian #1 name and phone number (& relationship)
Your answer
Student's Parent /Guardian #2 name and phone number (& relationship)
Your answer
Student's Home Address - Street, City, Zip Code *
Your answer
Student's Home Telephone Number *
Your answer
Student/Parent Email Address
Your answer
NAME OF SCHOOL *
Your answer
Grade *
School Address - Street, City, Zip Code *
Your answer
School Counselor's Name *
Your answer
School Counselor's Telephone Number *
Your answer
Is the School Counselor a NJSCA Member? *
Please briefly describe this student’s improvements and what helped this student to be more successful or to overcome a difficult life event. 1-3 paragraphs *
Your answer
Can you describe how you supported this student as a school counselor? 1-2 paragraphs
Your answer
Submit
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