2019 Gold Circle Application
The following pages are for the New Hampshire Partners in Education 2019 Gold Circle Award. The application must be submitted by a school representative. Most often this is submitted by an administrator, others office staff member or a volunteer.

The 2019 Gold Circle Award is given to school and significant volunteer partners based on efforts during the 2018-2019 school year. A Gold Circle Award celebrates the valuable partnerships that schools and volunteer programs have with local businesses. By receiving volunteer and other resource support from organizations in their community, schools are able to balance resources to provide their students with the best educational experience possible.

TO RECEIVE GOLD CIRCLE AWARD(S), THERE ARE FIVE BASIC STEPS TO FOLLOW.

APPLICATION PROCESS.
1. Make sure your school has submitted all expected for the Blue Ribbon Award. (required for all Gold Circle schools)
2. Complete this Gold Circle application and submit it on line.
3. Send in the application fee

NOTIFICATION AND EVENT
4. We will notify all schools after review of applications and receipt of fees
5. We will invite all to our November 1st Celebration of Volunteers


STEP ONE - BLUE RIBBON APPLICATION

Please make sure your school has submitted an application and feed for the Blue Ribbon Award. If there are any questions, please confirm with your school principal.


STEP TWO - GOLD CIRCLE 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.

APPLICATIONS MUST BE SUBMITTED THROUGH THIS ON LINE PROCESS
- Applications will not be accepted in a different format.
- Applications submitted by paper application only will be charged an additional processing fee as determined by NHPIE.

NOTIFICATION
- 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 September.


STEP THREE - PAYMENT OF REGISTRATION FEE

DETAILS REGARDING APPLICATIONS AND FEES
- The $20 application fee is for those applications that are submitted before Labor Day.
- Late applications submitted after Labor Day will be expected to pay the higher rate of $40.
- Late applications will be accepted at the discretion of the board.
- Extremely late applications submitted in late September will be accepted in very few cases.
- The application fee will cover up to 5 Gold Circle Partners. If a school has more than 5 partners, a second application and 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 fee must be submitted by check to our PO Box.
The mailing address
NH Partners in Education
PO Box 2758
Concord, NH 03301


THE APPLICATION PROCESS WILL BE CONSIDERED COMPLETE
AFTER NHPIE RECEIVES THE APPLICATION(S) AND FEE(S).

STEP FOUR - AWARD ANNOUNCEMENT
- Each 2019 Gold Circle School will be notified by email in the middle of September.
- With the notification there will be registration details of the celebration event tentatively scheduled for Friday, November 1st in Concord, NH.
- If you have submitted all of your application materials and are not notified by September 15, please contact NHPIE at nhpie.board@gmail.com.
- It is the responsibility of the Gold Circle School to notify all their Gold Circle Partners of the award notification.

STEP FIVE - REGISTRATION AND A SEAT AT THE EVENT IN OCTOBER
- The application fee for the celebration events are separated from the application fees. There was a past practice to provide complimentary seats, but that practice ended with our revision to fees in 2016.
- 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.


IMPORTANT DETAILS

APPLICATIONS AND FEES
- The $20 application fee is for those applications that are submitted before September 14th.
- Applications submitted after September 14 will be expected to pay the higher rate of $40.
- Late applications will be accepted at the discretion of the board.
- Applications submitted in late September will be accepted in very few cases.
- The application process will be considered complete after NHPIE receives the application(s) and application fee(s).

APPLICATIONS MUST BE SUBMITTED THROUGH THIS ON LINE PROCESS
- Applications will not be accepted in a different format.
- Applications submitted by paper application only will be charged an additional processing fee as determined by NHPIE.

REGISTRATION AND A SEAT AT THE EVENT IN OCTOBER
- All seats will be available for a reasonable fee, estimated to be $30 each.
- The NHPIE Celebration of Volunteers is scheduled for the morning of Friday, November 1st at the Grappone Conference Center, 70 Constitution Ave, Concord, NH.
- Please remember the application fee WILL NOT provide any complimentary seat to the October celebration event.  

QUESTIONS
- If there are any questions regarding this application, please contact the board by email at nhpie.board@gmail.com

PRINT A COPY FOR YOUR RECORDS
- Please print a copy of your application before clicking the submit button, as some find it difficult to print this document after clicking the submit button.

Email address *
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 2018 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 2019 partner, please answer all questions. If this is an additional 2019 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?
2019 Blue Ribbon
All Gold Circle schools must submit a Blue Ribbon Award. Has your school submitted an application for the 2019 Blue Ribbon Award?
2019 Gold Circle Partnership for the 2018-2019 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. Please note we are looking for an estimate of the number of hours.
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 September 14th.

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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