ࡱ> ` _bjbj mQvvvvvvv!!!!J"dX"V%%%%%r]&D&$WWWWWWW$>Zh\W]v&%%&&Wvv%%>X$'''& v%v%W'&W''2PvvS%" z]!&Q.?V|bX<XQ&,]&,]\S,]vSP&&'&&&&&WW' &&&X&&&&d  vvvvvv DISTINGUISHED STATE COMMUNITY COLLEGE DIRECTOR AWARD Entry Form Nominee:  FORMCHECKBOX  Dr.  FORMCHECKBOX  Mr.  FORMCHECKBOX  Ms. First Name:  FORMTEXT       Last Name:  FORMTEXT      Nominee Title:  FORMTEXT      State College System:  FORMTEXT      Address:  FORMTEXT      City:  FORMTEXT      State:  FORMTEXT      Zip:  FORMTEXT      Email:  FORMTEXT      Phone:  FORMTEXT      Start Date as State Community College Director: Month  FORMTEXT       Year  FORMTEXT     Nominating College/Region:  FORMTEXT      Nomination Writer:  FORMTEXT       Eligibility Directors of State Community College Education Association Systems are eligible for this award. A State Community College Director may receive this award only once. Nominees should have served in their position for at least 3 years and demonstrated during their tenure a strong level of support for Phi Theta Kappa. Nominees must agree to attend the International Convention in Philadelphia, Pennsylvania, if chosen as an award recipient. The awards are tentatively scheduled for presentation during Phi Theta Kappa & the American Association of Community Colleges joint General Session on the afternoon of Saturday, April 5. Award recipients will be notified in January of 2008. Phi Theta Kappa will provide one nights accommodation in the Convention hotel and waive Convention Registration for award recipients; all other travel expenses are the responsibility of the award recipient. Entry Requirements Failure to follow any of these requirements will result in entry disqualification. The Nomination must be typed in double-spaced Arial font, 10pt. size or greater, with at least one-inch margins, and must not exceed THREE one-sided, 8 by 11 pages. The Nomination must include each question followed by the writers response. This Entry Form must be signed by the nominee and stapled to the completed Check List and Nomination. Nomination NOMINATION To Be Completed by a Chapter Officer, Current Member, Chapter Advisor or Regional Coordinator Outline the nominees response to the following question: What are the three most important ways you have supported Phi Theta Kappa? Discuss how the nominee encourages support of Phi Theta Kappa in the state system. Discuss how the nominee has worked to increase scholarship opportunities for Phi Theta Kappa members in the state. Discuss how the nominee has recognized academic achievement and leadership accomplishments of Phi Theta Kappa members. I hereby agree to accept this award, if selected as a recipient, at the Phi Theta Kappa International Convention, April 3-5, 2008 in Philadelphia, Pennsylvania. Nominees Signature Date Contact information for the colleges Public Relations, Media Affairs or Public Information Office: Phi Theta Kappa International Headquarters will send an official press release to college Public Relations officials if a nominee is recognized with this award. Consult college administration to confirm appropriate contact information prior to submitting this form. Name:  FORMTEXT      Email:  FORMTEXT      Phone:  FORMTEXT       Entry Submission NEW for 2008: Please submit only ONE copy of the chapter s entry. Entries must be RECEIVED (not postmarked) by 5:00 pm CST, December 7, 2007. Faxed or emailed entries will not be accepted. Mail Entries To: Hallmark Awards, Phi Theta Kappa Headquarters, 1625 Eastover Drive, Jackson, MS 39211. STATE COMMUNITY COLLEGE DIRECTOR AWARD OF DISTINCTION Check List Mark all items reflecting the level of support provided by the nominee. Chapter Development  FORMCHECKBOX  Helped establish a new chapter(s)  FORMCHECKBOX  Works with colleagues to activate dormant chapters Regional & International Society Support  FORMCHECKBOX  Has attended a Regional Meeting  FORMCHECKBOX  Has presented at a Regional Meeting  FORMCHECKBOX  Has attended International Convention  FORMCHECKBOX  Has presented at International Convention Phi Theta Kappa Recognition  FORMCHECKBOX  Publicizes Phi Theta Kappa to external audiences  FORMCHECKBOX  Encourages college presidents to recognize and support Phi Theta Kappa advisors  FORMCHECKBOX  Recognizes chapter advisors at statewide events  FORMCHECKBOX  Recognizes chapter advisors in printed or electronic communications \hj   < u]E/jhSwhx'CJOJQJU^JaJ/jvh@o_hx'CJOJQJU^JaJ/jh@o_hx'CJOJQJU^JaJ#jhx'CJOJQJU^JaJhx'CJOJQJ^JaJ&h=5B* CJOJQJ^JaJphh=CJOJQJ\^JaJh=5B*OJQJ^Jph33hb_5B*OJQJ^Jph33h5B*OJQJ^Jph33j $If`kdJ$$Ifl `''0'4 la $IfgdACq$a$_< > R T b f z | ~ Ӹ秕k]I]1/jhKhx'5CJOJQJU\^JaJ&hx'5B* 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