30th Annual Blue Ribbon Achievement Award Application

For the 2010-2011 School Year

Each school applying for a Blue Ribbon Award must have the appropriate documentation on file for each question. NH Partners in Education retains the right to review the documentation upon request.

There is a $25.00 application fee to submit a Blue Ribbon Award application. Applications will not be considered complete until the application fee is received.

If you have questions about completing the Blue Ribbon application, please contact Daniel Hebert, Executive Director, by e-mail at dhebert@nhpie.org or by phone at (603) 540-0620.

All online applications and fees must be received no later than June 10, 2011.

District's SAU Number:

Superintendent's Name:

School Name:

Principal's Name:

School's Mailing Address:

Town / State / Zip

/ /

Phone:

000-0000

Fax:

000-0000

Principal's e-mail:

Volunteer Coordinator Contact Information

Will you be returning next year? YES NO

Name:

Title:

Address:

Town / State / Zip

/ /

Phone:

000-0000

e-mail:

Volunteer Co-coordinator Contact Information

Will you be returning next year? YES NO

Name:

Title:

Address:

Town / State / Zip

/ /

Phone:

000-0000

e-mail:

Please answer the following questions 1 through 17

1.	Please write your program's Mission Statement.
2.	Briefly describe the most significant accomplishment(s) of your School's Volunteer Program this year.
3.	Total number of volunteer hours
4.	Total number of students in the school
5.	Total number of volunteers
6.	In what way do you determine the volunteer needs of the school?
7.	Name your most successful recruitment method(s)
8.	Do all volunteers have an application on file?	YES NO
	How often are they updated?
9.	Does your application require information used in risk management?	YES NO
10.	Is your screening process facilitated at school or district level?	School District
11.	Do you have a handbook for your volunteer program?	YES NO
12.	Are your volunteers given opportunities for growth?	YES NO
	Describe the most effective method.
13.	Did your School participate in NH Partners in Education "Power of the Penny" program this year?	YES NO
	Please describe by indicating the amount raised, how the money was raised, and what the children learned.
14.	Were the goals for the School Volunteer Program met this year?	YES NO
	Why or why not?
15.	Please describe any new goals you may have for next year to support your mission.
16.	Testimonial from School Administrator. (50 words maximum)
17.	Testimonial from Volunteer Coordinator. (100 words maximum)
Statement: It is understood that this entry will be reviewed by the Principal and the Volunteer Coordinator prior to its submission, and that it represents a true and accurate description of your school's volunteer program. By applying for the Blue Ribbon School Achievement Award, it is understood that New Hampshire Partners in Education may ask the school to provide additional information in support of this application.
Name of person submitting application:
I give New Hampshire Partners in Education permission to use any of the information in this application for our training, recognition and publicity purposes. (initial here)

There is a $25.00 application fee to submit a Blue Ribbon Award application. Applications will not be considered complete until the application fee is received. Please mail the application fee to: New Hampshire Partners in Education PO Box 2758 Concord, NH 03301 All online applications and fees must be received no later than June 10, 2011