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Hosted by
NORTHEAST TEXAS CLUSTER Soror Chelle Luper Wilson, South Central Regional Director Soror Carolyn House Stewart, Supreme Basileus Soror Patricia Webb, Regional Conference Chairman Soror Bertha Scott, Regional Conference Co-Chairman Soror Madelyn Butler, Regional Conference Co-Chairman Soror Pamela Harmon, Northeast Texas Cluster Coordinator Soror Rosie Flanagan, Northeast Texas Co-Cluster Coordinator Soror Breanna Wright, Northeast Texas UG Cluster Coordinator Soror Yasmin Barnes, Conference Grammateus Soror Delicia Narcisse, Conference Pecunious Grammateus Soror Linda Reed, Conference Tamiouchous Soror Ruth Hightower, Conference Budget Coordinator
Host Chapters Graduate Chapters Alpha Xi Omega
Gamma Omicron Omega
Omicron Mu Omega
Beta Mu Omega
General Membership
Tau Rho Omega
Chi Zeta Omega
Kappa Xi Omega
Upsilon Lambda Omega
Nu Omega
Xi Theta Omega
Dallas, TX
Fort Worth, TX Plano, TX
Delta Alpha Omega Waco, TX
Tyler, TX
NETX Cluster
Texarkana, TX Marshall, TX
Dallas, TX
Carrollton, TX DeSoto, TX
Arlington, TX
Omicron Epsilon Omega Wichita Falls, TX
Undergraduate Chapters Alpha Tau
Texas College Tyler, TX
Epsilon Sigma
Kappa Lambda
Texas Christian University Fort Worth, TX
Kappa Mu
Texas A&M University Commerce Commerce, TX
Southern Methodist University Dallas, TX
Epsilom Mu
Texas Women’s University Denton, TX
University of North Texas Denton, TX
Kappa Nu
Rho Nu
Midwestern State University Wichita Falls, TX
Sigma Kappa
University of Texas - Dallas Dallas, TX
Theta Theta
Paul Quinn College Dallas, TX
Phi
Wiley College Marshall, TX
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Table of Contents GENERAL INFORMATION ..................................................................................................
5
ELIGIBILITY FORM ..............................................................................................................
8
AWARD FEES FORM .............................................................................................................
9
AWARDS AT-A-GLANCE ......................................................................................................
10
CHECKLIST A – PRE-CONFERENCE SUBMISSIONS ...................................................
12
ENTRIES TO BE MAILED ....................................................................................................
13
FORM 1
Alpha Kappa Alpha Sorority Award for Media Excellence ................
14
FORM 2
Grays-Purnell Undergraduate Leadership Award ................................
15
FORM 3
Faye B. Bryant Undergraduate Excellence Award ..............................
16
FORM 4 FORM 5
Julia Brogdon Purnell Humanitarian Award ........................................ Mattelia B. Grays Leadership Development Award ............................
17 18
FORM 6
Faye B. Bryant Human Relations Award ............................................
19
FORM 7
Mary Louise Williams Guiding Star for Public Service Award ..........
20
FORM 8
Deralyn Riles Davis Spirit Award .......................................................
21
FORM 9
Dorothy S. Johnson Heritage Award ...................................................
22
FORM 10
Mamie McKnight Ivy AKAdemy Community Award ........................
23
FORM 11 FORM 12
Jewel M. Thomas Visionary Award .................................................... Jacqueline O. Dansby Educational Leadership & Achievement Award
24 25
FORM 13
Carmelita Caruth Smith Spirit of the Ivy Award .................................
26
FORM 14
Dr. Polly Sparks Turner Health Professions Award ............................
27
FORM 15
Dr. Polly Sparks Turner EAF Health Professions Scholarship Award
28
FORM 16
Shirley R. Fisher Science and Mathematics Excellence Award ..........
29
FORM 17
Tari T. Bradford Political Awareness Award ......................................
30
FORM 18
Gwendolyn J. Brinkley Fine Arts Award ............................................
31
FORM 19
Graduate Good Citizen Award ...........................................................
32
FORM 20
Graduate Advisor of the Year Award ..................................................
33
FORM 21
Outstanding Basileus Award ...............................................................
34
FORM 22
Outstanding Initiate Award ..................................................................
35
FORM 23
Soror of the Year Award ......................................................................
36
FORM 24
Golden Soror of the Year Award .........................................................
37
FORM 25
South Central AKA C.A.R.E.S (Connection) Award ..........................
38
FORM 26
Excellence in Education Award ...........................................................
39
FORM 27 FORM 28
Reactivation: Reclaim Our Sorors Award ........................................... Chapter of the Year Award ..................................................................
40 41 -3-
CHECKLIST B – OTHER SUBMISSIONS ............................................................................
42
ENTRIES TO BE SUBMITTED AT THE CONFERENCE ..................................................
43
FORM 29
Outstanding Chapter Attendance Award ...............................................
44
FORM 30
Outstanding Chapter Scrapbook Award ................................................
45
FORM 31
Outstanding Chapter Exhibit Award ......................................................
46
GLOBAL LEADERSHIP THROUGH TIMELESS SERVICE AWARDS ..........................
47
FORM 32
Outstanding GLTTS Program Award ....................................................
48
FORM 33
Emerging Young Leaders Award ..........................................................
49
FORM 34
Health Initiative Program Award ...........................................................
50
FORM 35
Global Poverty Initiative Program Award .............................................
51
FORM 36
Economic Security Initiative Program Award .......................................
52
FORM 37
Social Justice and Human Rights Initiative Program Award .................
53
HEALTH PARTNER AWARDS .............................................................................................
54
FORM 38
American Cancer Society Award ...........................................................
55
FORM 39
American Diabetes Association Award ................................................
56
FORM 40
American Heart Association Award .....................................................
57
FORM 41
American Kidney Fund Award ..............................................................
58
OTHER AWARDS .....................................................................................................................
59
FORM 42
Pearls of Power Award ..........................................................................
60
FORM 43
Asthma Prevention & Management Initiative Award ............................
62
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GENERAL INFORMATION
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Chapter Membership Size: Small 1 - 75 Medium 76 - 150 Large 151+ Regional Awards Chapter Fee: Graduate - $150 Undergraduate - $75 Enclosed you will find all the necessary forms for making application for the 82nd South Central Regional Conference Awards. Please note the guidelines and deadlines. Good luck to all applicants!
I.
SUBMISSION OF ENTRIES
Note: Nominees must be present at the Regional Conference or provide evidence of inability to attend. The Awards-at-a-Glance table specifies which categories are to be submitted by graduate and undergraduate chapters. Checklist A - Award categories 1 through 27: Entries in categories 1 through 27, unless specifically noted, must be mailed to:
Soror Bennyfer Bridgewater 82nd South Central Regional Conference Awards & Exhibits Committee 236 Zachary Walk Murphy, TX 75094 (972) 213-8066 The postmark date must be on or before February 8, 2014. NOTE: Entries will be judged prior to the opening of the Regional Conference. Checklist A - Award category 28 – Chapter Attendance • This award will be based on attendance recorded at the Conference Registration Desk. • Attendance will be recorded up to the close of registration on Friday, March 14, 2014. • Chapters must submit the Nomination Form to the Awards Committee no later than 9:00 a.m. on Saturday, March 15, 2014. Though based on registration, chapters must apply for this award in order to be considered. • The form must be submitted at the Awards/Exhibits Area. • Winners will be based on the percentage of active chapter membership present at the Regional Conference. Checklist B - Award categories 29 through 37 • Entries must be submitted along with Checklist B at the Regional Conference. • All entries must be received in the Awards/Exhibits Area by the Awards Committee during the following time: Thursday, March 13, 2014 3:00 p.m. to 8:00 p.m. Checklist B – Other awards • Please see the nomination form for specific instructions regarding these awards.
II. • •
DISPLAY AND CHECKOUT OF ENTRIES All award entries that meet the qualifications will be displayed during the Regional Conference. All entries must be picked up by chapter representatives on Saturday, March 15, 2014 between 3:00 p.m. and 4:00 p.m. The Awards Committee will not be responsible for entries left after 4:00 p.m.
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III. •
GENERAL GUIDELINES
Except where specifically instructed, each entry should include only activities, accomplishments, awards, etc., from February 1, 2013 - February 1, 2014. • Points will be deducted if the above guideline is not followed. • All supporting material must be postmarked no later than February 8, 2014. • Entries that do not meet the following specifications will not be accepted. Size Guidelines: All scrapbooks and exhibits must meet the required size and weight as indicated below: Individual Scrapbooks: * must not be larger than 14” x 14” and 3” thick * must not weigh more than 20 pounds Chapter Scrapbooks: * must not be larger than 18” x 18” and 5” thick * must not weigh more than 30 pounds Exhibits: * must not be larger than 3’ x 3’ x 3’ • Checklist A must accompany entries that are mailed. • Checklist B must be mailed. The postmark deadline is February 8, 2014. A copy of Checklist B must also accompany entries that are submitted at Regional Conference. • The Eligibility Form must accompany mailed entries. The postmark deadline is February 8, 2014. • Chapters that are not submitting mailed entries must also mail the Eligibility Form. The postmark deadline is February 8, 2014. A copy of the Eligibility Form must also accompany entries that are submitted at Regional Conference. • Each entry must be bound securely. The binder type (notebook, scrapbook, folder, etc.) is the Chapter’s choice. Do not bind the Checklist or the Eligibility Form. • The Nomination Form must accompany each entry, and it should be filled out completely. • Only one category should be included in a binder. • Do not use the same entry for more than one category. Points will be deducted if the following specifications are not met: • For Categories 1 through 27, the Nomination Form must be securely attached to the first page or to the inside front cover of the binder. • Guidelines on the Nomination Form must be followed. Organization of entry is up to the Chapter, but each section must be clearly labeled with headings listed on the Nomination Form. • There should be no loose pages. • Chapters are encouraged to send entries by certified mail (return receipt requested) so that they can verify receipt of materials. • If two or more packages are mailed from the same chapter, Checklist A should be in the first package. Please indicate the number of packages on each package (example: 1 of 3, 2 of 3, and 3 of 3). It is not necessary to mail more than one copy of Checklist A. • Regional Conference Hostess Chapters are not eligible to compete for awards with the exception of the following: Golden Soror of the Year Award, Form 24; AKA C.A.R.E.S. Award, Form 25; GLTTS Awards, Forms 32-37; Health Partner Awards, Forms 38-41; Pearls of Power Award, Form 42; Asthma Prevention & Management Initiative Award, Form 43.
IV. • •
AWARDS
Awards will be given to first and second place winners in each category, unless specifically noted. No undergraduate awards will be based on chapter size, unless specifically noted.
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ELIGIBILITY FORM The answers to the questions below should assist you in determining your eligibility to participate in the awards categories. You qualify if: A. Chapter Awards: Responses are YES to questions 1-5 and NO to question 6. B. Individual Awards: Responses are YES to question 1 and NO to question 2.
CHAPTER AWARDS YES NO 1. Chapter Report and Evaluation Report submitted to Corporate Office by February 1, 2014 2. Chapter Report and Evaluation submitted to Regional Director by February 1, 2014 3. Roster of Chapter Officers submitted to Corporate and Regional Director by February 1, 2014 4. Transcript of Fall Grades submitted to Regional Director by January 15, 2014 5. Chapter obligations for South Central Region have been met for 2013 - 2014 6. Chapter under penalty for any reason between February 1, 2013 and February 1, 2014
INDIVIDUAL AWARDS YES NO 1. Soror is active in a chapter located in the South Central Region or a General Member residing in the South Central Region. 2. Soror under penalty for any reason between February 1, 2013 and February 1, 2014 Chapter: Location: Basileus’ Signature Basileus’ Printed Name Grammateus’ Signature Grammateus’ Printed Name Graduate Advisor's Signature Graduate Advisor's Printed Name
The postmark deadline for this form is February 8, 2014.
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2014 REGIONAL AWARD FEES In accordance with the directive of the Regional Conference, we hereby submit the Regional Conference Awards fee (cashier check, chapter check, or money order) as indicated below. Make checks payable to AKA 82nd South Central Regional Conference.
□ GRADUATE - $150.00
□ UNDERGRADUATE - $75.00 Chapter : _______________________________________________________________________ Location : ____________________________________________________________________ Basileus’ Signature : ____________________________________________________________ Graduate Advisor's Signature : _________________________________________ (Undergraduate Chapter)
Return this form with payment, postmarked by February 1, 2014, to: 82nd South Central Regional Conference Soror Delicia Narcisse Conference Pecunious Grammateus 828 Windy Meadow Drive DeSoto, TX 75115 & A COPY only of this form (no money) to: Soror Chelle Luper Wilson South Central Regional Director 2525 Woodland Drive Cross Roads, TX 76227
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AWARDS AT-A-GLANCE CHECKLIST A – PRE-CONFERENCE SUBMISSIONS Alpha Kappa Alpha Sorority Award FORM 1 for Media Excellence FORM 2 FORM 3 FORM 4 FORM 5 FORM 6 FORM 7
Grays-Purnell Undergraduate Leadership Award Faye B. Bryant Undergraduate Excellence Award Julia Brogdon Purnell Humanitarian Award Mattelia B. Grays Leadership Development Award Faye B. Bryant Human Relations Award Mary Louise Williams Guiding Star for Public Service Award
Undergraduate
Graduate
Chapter
x
x
x
x x -
Individual
x
-
x
x
x
x
x
x
x
x
x
x
x
FORM 8
Deralyn Riles Davis Spirit Award
FORM 9
Dorothy S. Johnson Heritage Award
x
FORM 10
Mamie McKnight Ivy AKAdemy Community Award
-
FORM 11
Jewel M. Thomas Visionary Award
FORM 12
Jacqueline O. Dansby Educational Leadership & Achievement Award
x
x
x
x
FORM 13
Carmelita Caruth Smith Spirit of the Ivy Award
x
x
x
x
FORM 14
Dr. Polly Sparks Turner Health Professions Award
x
FORM 15
Dr. Polly Sparks Turner EAF Health Professions Scholarship Award
x
FORM 16
Shirley R. Fisher Science and Mathematics Excellence Award
x
FORM 17 FORM 18
Tari T. Bradford Political Awareness Award Gwendolyn J. Brinkley Fine Arts Award
-
-
x -
x
x
x
x
x
-
x x x x
x
x
x
x
x
x
x
x
FORM 19
Graduate Good Citizen Award
FORM 20
Graduate Advisor of the Year Award
FORM 21
Outstanding Basileus Award
x
FORM 22
Outstanding Initiate Award
x
x
x
FORM 23
Soror of the Year Award
x
x
x
FORM 24
Golden Soror of the Year Award
x
x
-
-
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CHECKLIST A – PRE-CONFERENCE SUBMISSIONS (continued) South Central AKA C.A.R.E.S. FORM 25 (Connection) Award FORM 26 FORM 27 FORM 28
Excellence in Education Award Reactivation: Reclaim Our Sorors Award Chapter of the Year Award
CHECKLIST B – FORMS TO BE SUBMITTED AT THE CONFERENCE Outstanding Chapter Attendance FORM 29 Award Outstanding Chapter Scrapbook FORM 30 Award FORM 31 Outstanding Chapter Exhibit Award GLOBAL LEADERSHIP THROUGH TIMELESS SERVICE AWARDS
Undergraduate
Graduate
Chapter
x
x
x
x
x
x
x
x
x
x
Undergraduate
Graduate
Chapter
x
x
x
x
x
x
x
x
x
x
Undergraduate x
Graduate x
Chapter x
Outstanding GLTTS Program Award
FORM 33
Emerging Young Leaders Award
x
x
x
FORM 34
Health Initiative Program Award Global Poverty Initiative Program Award Economic Security Initiative Program Award
x
x
x
x
x
x
x
x
x
x
x
x
FORM 36 FORM 37
Social Justice and Human Rights Initiative Program Award
Electronic Submission
HEALTH PARTNER AWARDS FORM 38
FORM 40
American Cancer Society Award American Diabetes Association Award American Heart Association Award
FORM 41
American Kidney Fund Award
FORM 39
x
Forms Submitted at the Conference
FORM 32
FORM 35
Individual
Undergraduate x
Graduate x
Chapter x
x
x
x
x
x
x
x
x
x
Undergraduate x
Graduate
Chapter x
x
x
x
OTHER AWARDS FORM 42 FORM 43
Pearls of Power Award Asthma Prevention & Management Initiative Award
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CHECKLIST A PRE-CONFERENCE SUBMISSIONS
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Checklist A – Pre-Conference Submissions Chapter
Location
Chapter Mailing Address Street
City
State
Zip
Telephone
Soror Submitting Nomination Email Address
Phone
This checklist must be mailed along with the nomination forms and supporting materials.
Check each entry that your chapter is submitting as a nomination: ____ ____ ____ ____ ____ ____ ____ ____ ____ ____ ____ ____ ____ ____ ____ ____ ____ ____ ____ ____ ____ ____ ____ ____ ____ ____ ____ ____
FORM 1 FORM 2 FORM 3 FORM 4 FORM 5 FORM 6 FORM 7 FORM 8 FORM 9 FORM 10 FORM 11 FORM 12 FORM 13 FORM 14 FORM 15 FORM 16 FORM 17 FORM 18 FORM 19 FORM 20 FORM 21 FORM 22 FORM 23 FORM 24 FORM 25 FORM 26 FORM 27 FORM 28
Alpha Kappa Alpha Sorority Award for Media Excellence Grays-Purnell Undergraduate Leadership Award Faye B. Bryant Undergraduate Excellence Award Julia Brogdon Purnell Humanitarian Award Mattelia B. Grays Leadership Development Award Faye B. Bryant Human Relations Award Mary Louise Williams Guiding Star for Public Service Award Deralyn Riles Davis Spirit Award Dorothy S. Johnson Heritage Award Mamie McKnight Ivy AKAdemy Community Award Jewel M. Thomas Visionary Award Jacqueline O. Dansby Educational Leadership & Achievement Award Carmelita Caruth Smith Spirit of the Ivy Award Dr. Polly Sparks Turner Health Professions Award Dr. Polly Sparks Turner EAF Health Professions Scholarship Award Shirley R. Fisher Science and Mathematics Excellence Award Tari T. Bradford Political Awareness Award Gwendolyn J. Brinkley Fine Arts Award Graduate Good Citizen Award Graduate Advisor of the Year Award Outstanding Basileus Award Outstanding Initiate Award Soror of the Year Award Golden Soror of the Year Award South Central AKA C.A.R.E.S. (Connection) Award Excellence in Education Award Reactivation: Reclaim Our Sorors Award Chapter of the Year Award
SIGNATURES Basileus Please Print
Signature
Please Print
Signature
Please Print
Signature
Grammateus Chapter Awards Chairman Number of packages sent
All packages must be mailed by the deadline.
The postmark date must be no later than February 8, 2014.
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Alpha Kappa Alpha Sorority Award for Media Excellence The Alpha Kappa Alpha Award for Media Excellence is presented to a Graduate and Undergraduate chapter that distinguishes itself in each region for expanding the ALPHA KAPPA ALPHA presence through execution of a strategic media plan as well as for exemplary media coverage of their programs of service and community activities on a local, regional and international basis. A full range of communication assets should be utilized including sorority publications, external media outlets such as radio, television, print and digital media and social media outlets. Check appropriate box for which the nomination is submitted:
GRADUATE – Chapter
UNDERGRADUATE - Chapter
Chapter
Location
Chapter Mailing Address Street
City
State
Zip
Telephone
CRITERIA FOR SELECTION 1. Narrative (not to exceed three pages) ........................................................................................ 2. Evidence of chapter having designated an Ivy Leaf Reporter ................................................... 3. Proof that the Basileus, Ivy Leaf Reporter, or other chapter representative attended communications workshop at a Regional Conference or Leadership Conference/Boule or Cluster, or participated on the Region Information Officer Committee since August 2012. A Communications Committee member or Region Information Officer is available to conduct a teleconference with chapter representatives that would fulfill this requirement. ...... 4. Ability to develop and execute a strategic media plan surrounding chapter activities .............. 5. Evidence of media coverage of chapter participation in AKA activities and promotion of the International Program theme as determined by the Supreme Basileus (i.e., “Global Leadership Through Timeless Service”) .................................................................................... 6. Documentation of media coverage of chapter participation at non-AKA hosted community activities ...................................................................................................................................... 7. Evidence of the single most creative media execution including what resources were utilized to achieve results ........................................................................................................................ 8. Proof of use of media guide - Cite sections to document use .................................................... 9. Evidence of use of chapter-supported social media (Facebook, Twitter, LinkedIn, Flickr) ......
15 points 5 points
10 points 15 points
25 points 10 points 10 points 5 points 5 points
SIGNATURES Basileus Graduate Advisor Undergraduate Chapters Only
Please Print
Signature
Please Print
Signature
The postmark date must be no later than February 8, 2014. REGIONAL AWARDS COMMITTEE USE ONLY: Received by
Date
Postmark Date
FORM 1
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Grays-Purnell Undergraduate Leadership Award Nominee Chapter
Location
Chapter Mailing Address Street
City
State
Zip
Telephone
Graduate Advisor Information: Name
Chapter
Address Street
City
State
Zip
Telephone
This award will be judged by the 2014 South Central Regional and Cluster Awards committees and the Regional Director based on the following qualities exemplified by an undergraduate soror between February 1, 2013 and February 1, 2014.
1. 2. 3. 4. 5. 6. 1. 2. 3. 4. 5. 6.
Outstanding academic scholarship ............................................................................................. Effective leadership skills, including offices held in the Chapter ............................................. Fostering cooperation, cohesion, and sisterhood within the Chapter ........................................ Cooperating and encouraging good working relationships with the Graduate Chapter ............ Effective working relationship with the Graduate Advisor ....................................................... Timely submission of all reports to the college and to the sorority at all levels ........................ Fostering Chapter activities that include: Self-improvement and leadership development of Sorors ......................................................... Volunteer service on campus and in the community (sorority and non-sorority volunteerism) ............................................................................................................................ Knowledge of sorority policies and procedures ....................................................................... Attendance at Boule, Regional Conferences, and Area Retreats ............................................... Promotion of good chapter image on campus ............................................................................ Other personal qualities .............................................................................................................
15 points 20 points 10 points 10 points 10 points 10 points 15 points 20 points 15 points 10 points 10 points 10 points
Along with this form, the Graduate Advisor will prepare a Nomination Portfolio that addresses the qualities of the nominee. She will also provide any supporting documents as listed above. SIGNATURES Basileus Please Print
Signature
Please Print
Signature
Graduate Advisor
The postmark date must be no later than February 8, 2014. REGIONAL AWARDS COMMITTEE USE ONLY: Received by
Date
Postmark Date
FORM 2
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Faye B. Bryant Undergraduate Excellence Award Nominee Chapter
Location
Chapter Mailing Address Street
City
Expected Graduation Date
State
Major
Zip
Telephone
Minor
Graduate Advisor Information: Name
Chapter
Address Street
City
State
Zip
Telephone
The Graduate Advisor must prepare this form in order to be eligible for the $1,000.00 scholarship. The nominee must have a grade point average of 3.0 on a 4.0 scale. Additionally, this award will be judged based on the following criteria.
A. 1. 2. 3. 4. 5.
On a separate sheet(s), type your reasons for electing the nominee using categories 1-5 below Involvement in chapter, regional and international sorority activities ...................................... 15 points Involvement in campus activities and community activities sponsored by the sorority ........... 15 points Involvement in campus and community activities sponsored by other groups ......................... 10 points Other activities of note not listed above .................................................................................... 5 points Brief statement that expresses your major reason(s) for nominating this soror ........................ 10 points
B. List attainment in the following categories 1. Grade point averages through Fall 2013 .................................................................................... a. Cumulative GPA b. Fall 2013 GPA 2. Academic Honors ...................................................................................................................... 3. Non-Academic Recognition ...................................................................................................... 4. Membership in other organizations and positions held .............................................................
15 points
15 points 10 points 5 points
Supporting materials such as newspaper clippings, pictures, etc. will be judged with this form. A current transcript must be attached to this form. Letters of reference to be attached: one from the Graduate Advisor, Basileus of the Graduate Sponsoring Chapter, and a college official. SIGNATURES Basileus Please Print
Signature
Please Print
Signature
Graduate Advisor
The postmark date must be no later than February 8, 2014. REGIONAL AWARDS COMMITTEE USE ONLY: Received by
Date
Postmark Date
FORM 3
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Julia Brogdon Purnell Humanitarian Award Nominee Chapter
Location
Chapter Mailing Address Street
City
State
Zip
Telephone
This award will be judged by the 2013 South Central Regional and Cluster Awards Committees and the Regional Director based on qualities exemplified by a Graduate soror between February 1, 2013 and February 1, 2014. On a separate sheet(s) give specific reasons for nominating the soror using the following criteria:
1. Involvement in an activity for a minimum of five (5) years in a non-compensated capacity that alleviates human suffering by improving the quality of life and by elevating the African American community. A. Description of activity, how it alleviates human suffering by improving the quality of life and how it elevates the African American community ........................................... B. Extent of involvement, including the number of years and average number of hours per week devoted to the activity ....................................................................................
15 points 10 points
2. Progress attained by beneficiaries of the activity in which the nominee has been involved and evidence of specific benefits to the African American community ...........................................
25 points
3. Sorority service (local, regional, and international) ...................................................................
25 points
4. Leadership skills, ability to foster cohesion and cooperation among others and the capacity to motivate and inspire others to support humanitarian causes .....................................................
15 points
5. Special awards, recognitions, citations ......................................................................................
10 points
Supporting materials must accompany this form for full consideration in judging. SIGNATURES Basileus’ Signature Basileus’ Printed Name
The postmark date must be no later than February 8, 2014. REGIONAL AWARDS COMMITTEE USE ONLY: Received by
Date
Postmark Date
FORM 4
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Mattelia B. Grays Leadership Development Award Awarded to a Graduate soror who has made the greatest contribution and demonstrated a personal commitment toward Leadership Development in her chapter. Nominee Chapter
Location
Chapter Mailing Address Street
City
State
Zip
Telephone
CRITERIA FOR SELECTION The successful applicant for this award: 1. Must be nominated by the chapter ............................................................................................
10 points
2. Must have all activities documented that were initiated in her chapter in support of leadership development ...............................................................................................................................
20 points
3. Must list all leadership events attended .....................................................................................
30 points
4. Must list all leadership workshops completed to enhance personal development .....................
15 points
5. Must list all leadership presentations conducted at national, cluster or chapter level ...............
10 points
6. Supporting materials/documentation will be judged with each requirement .............................
15 points
SIGNATURES Basileus’ Signature Basileus’ Printed Name
The postmark date must be no later than February 8, 2014. REGIONAL AWARDS COMMITTEE USE ONLY: Received by
Date
Postmark Date
FORM 5
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Faye B. Bryant Human Relations Award Awarded to a Graduate soror who has made the greatest contribution and demonstrated a “Spirit of Unity.” Nominee Chapter
Location
Chapter Mailing Address Street
City
State
Zip
Telephone
CRITERIA FOR SELECTION The successful applicant for this award: 1. Must be an active member of Alpha Kappa Alpha Sorority, Inc. ..............................................
5 points
2. Must exhibit the spirit of sisterhood and be involved in efforts to improve sisterly relations within her chapter ......................................................................................................................
15 points
3. Reaches out to improve the conditions of others and relationships in the local community or on a college campus ...................................................................................................................
20 points
4. Must be involved in efforts to improve the image of Alpha Kappa Alpha Sorority, Inc. on a campus or in the local community ....................................................................................
30 points
5. Must present documentation of all above stated eligibility requirements .................................
20 points
SIGNATURES Basileus’ Signature Basileus’ Printed Name
The postmark date must be no later than February 8, 2014. REGIONAL AWARDS COMMITTEE USE ONLY: Received by
Date
Postmark Date
FORM 6
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Mary Louise Williams Guiding Star for Public Service Award Awarded to a Graduate soror who has demonstrated outstanding participation in Public Service. Nominee Chapter
Location
Chapter Mailing Address Street
City
State
Zip
Telephone
CRITERIA FOR SELECTION The successful applicant for this award: 1. Has served in elective office position for a minimum of five years. These positions can be with educational or civic organizations, social clubs, political affiliations, advocacy groups, city council, quorum court, representative or senator at the state and national levels, trade association, religious organization, etc. ....................................................................................
10 points
2. Has been involved in many sections of public service. This involvement can include but is not be limited to the political, human service, the arts advocacy and personal growth sectors .......................................................................................................................................
20 points
3. Demonstrates a history of active volunteer service to the community ......................................
25 points
4. Must be involved in efforts to improve the image of Alpha Kappa Alpha Sorority, Inc. on a campus or in the local community ....................................................................................
25 points
5. Supporting materials/documentation will be judged with each requirement ............................
10 points
SIGNATURES Basileus’ Signature Basileus’ Printed Name
The postmark date must be no later than February 8, 2014. REGIONAL AWARDS COMMITTEE USE ONLY: Received by
Date
Postmark Date
FORM 7
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Deralyn Riles Davis Spirit Award Awarded to a Graduate soror who encourages and supports soror participation. Nominee Chapter
Location
Chapter Mailing Address Street
City
State
Zip
Telephone
CRITERIA FOR SELECTION The successful applicant for this award: 1. Is energetic, a “go-getter” soror ................................................................................................
15 points
2. Is task-oriented ...........................................................................................................................
15 points
3. Works well with specific projects ..............................................................................................
20 points
4. Exhibits “cheerleader” qualities .................................................................................................
20 points
5. Promotes and markets Alpha Kappa Alpha Sorority, Inc. daily ................................................
20 points
6. Supporting materials/documentation will be judged with each requirement ............................
10 points
SIGNATURES Basileus’ Signature Basileus’ Printed Name
The postmark date must be no later than February 8, 2014. REGIONAL AWARDS COMMITTEE USE ONLY: Received by
Date
Postmark Date
FORM 8
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Dorothy S. Johnson Heritage Award Awarded to an Undergraduate soror who has demonstrated leadership skills through effective service as a chapter, regional or international officer, international committee member, workshop presenter, or participant in training experiences. Nominee Chapter
Location
Chapter Mailing Address Street
City
Expected Graduation Date
State
Major
Zip
Telephone
Minor
Graduate Advisor Information: Name
Chapter
Address Street
City
State
Zip
Telephone
CRITERIA FOR SELECTION The successful applicant for this award: 1. Must exemplify high scholastic ability by having maintained a minimum cumulative GPA of 2.8 overall ..................................................................................................................................
20 points
2. Demonstrates perseverance ........................................................................................................
20 points
3. Exemplifies dedication ...............................................................................................................
20 points
4. Provides service to the chapter and/or the community in a way that significantly improved the chapter’s ability to implement the sorority’s mandated program thrusts and/or to improve the quality of life to humankind ................................................................................................
20 points
5. Supporting materials/documentation will be judged with each requirement ............................
20 points
SIGNATURES Basileus Please Print
Signature
Please Print
Signature
Graduate Advisor
The postmark date must be no later than February 8, 2014. REGIONAL AWARDS COMMITTEE USE ONLY: Received by
Date
Postmark Date
FORM 9
- 22 -
Mamie McKnight Ivy AKAdemy Community Service Award Awarded to a Graduate soror who has been instrumental in developing and/or implementing a comprehensive Ivy AKAdemy program for her chapter. The program must fulfill the requirements for the best chapter Ivy AKAdemy in the category to which it is assigned. Nominee Chapter
Location
Chapter Mailing Address Street
City
State
Zip
Telephone
CRITERIA FOR SELECTION The successful applicant for this award must be nominated by her chapter. The nomination portfolio, scrapbook, or display must include the following: 1. A statement giving the reason(s) the soror was nominated for the award .................................
15 points
2. A description of the Ivy AKAdemy and the extent to which it meets the guidelines for an Ivy AKAdemy ..................................................................................................................................
25 points
3. A description of the impact the program has had on the community ........................................
30 points
4. The number of persons other than Alpha Kappa Alpha Sorority, Inc. women who have been beneficiaries of the program. Include a letter or note received from a program participant ...
10 points
5. Action photo(s) of the nominated soror involved in the AKAdemy activities (Include any other graphic materials that show involvement with the program participants)..........................
10 points
SIGNATURES Basileus’ Signature Basileus’ Printed Name
The postmark date must be no later than February 8, 2014. REGIONAL AWARDS COMMITTEE USE ONLY: Received by
Date
Postmark Date
FORM 10
- 23 -
Jewel M. Thomas Visionary Award Awarded to a Graduate soror who possesses a strong sense of visionary leadership within Alpha Kappa Alpha Sorority, Inc. Nominee Chapter
Location
Chapter Mailing Address Street
City
State
Zip
Telephone
CRITERIA FOR SELECTION The successful applicant for this award: 1. Must possess a strong sense of visionary leadership within Alpha Kappa Alpha Sorority, Inc. ..............................................................................................................................
15 points
2. Must render visionary leadership or service unselfishly in the local community ......................
25 points
3. Must value or foster strong family leadership ...........................................................................
10 points
4. Must support youth as they strive to prepare themselves educationally ....................................
25 points
5. Must seek unity and cohesiveness within the group ..................................................................
10 points
6. Supporting materials/documentation will be judged with each requirement ............................
15 points
SIGNATURES Basileus’ Signature Basileus’ Printed Name
The postmark date must be no later than February 8, 2014. REGIONAL AWARDS COMMITTEE USE ONLY: Received by
Date
Postmark Date
FORM 11
- 24 -
Jacqueline O. Dansby Educational Leadership & Achievement Award Awarded to a soror or chapter that possesses excellence in educational leadership and achievement. This award may be presented to an individual soror or chapter at either the Graduate or Undergraduate level. Check appropriate box for which the nomination is submitted:
GRADUATE - Chapter
UNDERGRADUATE - Chapter
GRADUATE - Individual
UNDERGRADUATE - Individual
Nominee Chapter
Location
Chapter Mailing Address Street
City
State
Zip
Telephone
CRITERIA FOR SELECTION The successful applicant for this award: 1. Must have demonstrated through volunteer service a strong commitment toward helping youths of African American descent to raise their level of academic achievement and aspire toward a college education .........................................................................................................
20 points
2. Must have provided outstanding leadership in the implementation of the service project described above ..........................................................................................................................
25 points
3. Must have documentation of the educational outcomes or benefits to students as a result of the service ..................................................................................................................................
30 points
4. Supporting materials/documentation will be judged with each requirement ............................
25 points
SIGNATURES Basileus Graduate Advisor Undergraduate Chapters Only
Please Print
Signature
Please Print
Signature
The postmark date must be no later than February 8, 2014. REGIONAL AWARDS COMMITTEE USE ONLY: Received by
Date
Postmark Date
FORM 12
- 25 -
Carmelita Caruth Smith Spirit of the Ivy Award Awarded to a soror who works “behind the scenes” to make her Chapter’s programs successful. This award recognizes the contributions in time, talent, creativity, and commitment of the soror. This soror is an “unsung heroine” who consistently goes the extra mile for Alpha Kappa Alpha Sorority, Inc. This award may be presented to an individual soror at the Graduate and Undergraduate level. The nominee does not have to hold a chapter office. Check appropriate box for which the nomination is submitted:
GRADUATE - Individual
UNDERGRADUATE - Individual
Nominee Chapter
Location
Chapter Mailing Address Street
City
State
Zip
Telephone
CRITERIA FOR SELECTION The successful applicant for this award: 1. Must be involved on chapter committees .................................................................................. 2. Must be involved in chapter sponsored school and community service projects, which support our International Program goals and targets ................................................................. 3. Must foster positive sisterly relations within her chapter .......................................................... 4. May hold a chapter office, but cannot be the Basileus or Anti-Basileus ................................... 5. Must exemplify high scholastic ability by having maintained a minimum cumulative GPA of 3.0 if an undergraduate ................................................................................................. 6. Must prepare a scrapbook documenting the nominee’s role in the events or activities depicted (pictures, news articles, flyers, letter of commendation, etc.) ................................................... 7. Must list the specific contributions made by the nominee to make each event or activity listed successful ................................................................................................................................... 8. Must enclose a letter of nomination signed by the Basileus, Grammateus (and Graduate Advisor, if an undergraduate) ..................................................................................... 9. Supporting materials/documentation will be judged with each requirement .............................
5 points 15 points 10 points 5 points 10 points 20 points 10 points 10 points 15 points
SIGNATURES Basileus Graduate Advisor Undergraduate Chapters Only
Please Print
Signature
Please Print
Signature
The postmark date must be no later than February 8, 2014. REGIONAL AWARDS COMMITTEE USE ONLY: Received by
Date
Postmark Date
FORM 13
- 26 -
Dr. Polly Sparks Turner Health Professions Award Awarded to an Undergraduate soror who is enrolled in a 4-year college or university studying to receive a Bachelor of Science or the Doctor of Pharmacy degree majoring in Dietetics, Environmental Health, Health Care Administration, Health Information Management (formerly known as Medical Records Administration), Medical Technology, Nutrition, Pharmacy, or Respiratory Therapy. Nominee Chapter
Location
Chapter Mailing Address Street
City
Expected Graduation Date
Major
State
Zip
Telephone
Minor
CRITERIA FOR SELECTION The successful applicant for this award: 1. Must be active in the undergraduate chapter and have chaired or is chairing the chapter’s Health Committee .....................................................................................................................
10 points
2. Must have a semester or overall GPA of at least 2.8 (4.0 system) ............................................
5 points
3. Must be an active member of the student health profession organization; for example, Student Chapter of Health Care Executives.................................................................................
10 points
4. Must have volunteered at least a combined total of 100 hours in a health care facility ............
20 points
5. Must have volunteered at least a combined total of 100 hours in community health-related organizations; for example, American Red Cross, United Way, American Heart Association, American Cancer Society, Methodist Hospital ..........................................................................
15 points
6. Must present a 500 word typewritten paper entitled “Why I Chose (name your health profession) As My Lifetime Career” (Use Times New Roman Font, 12pt, 1-1/2 line spacing) ........................................................................................................................................
25 points
7. Must present documentation on all of the above stated eligibility requirements ......................
15 points
SIGNATURES Basileus Please Print
Signature
Please Print
Signature
Graduate Advisor
The postmark date must be no later than February 8, 2014. REGIONAL AWARDS COMMITTEE USE ONLY: Received by
Date
Postmark Date
FORM 14
- 27 -
Dr. Polly Sparks Turner EAF Health Professions Scholarship Award Nominee Chapter
Location
Chapter Mailing Address Street
City
Expected Graduation Date
State
Major
Zip
Telephone
Minor
Graduate Advisor Information: Name
Chapter
Address Street
City
State
Zip
Telephone
The Graduate Advisor must prepare this form. This scholarship will be awarded to two (2) Undergraduate sorors who are currently pursuing a degree in one of the allied health professions. In order to be eligible for the $1,000.00 scholarship, the Undergraduate soror must be a financial, active member of the South Central Region, at least a Sophomore or classified as a P-2, pharmacy student in the Spring 2014 semester. On a separate sheet(s), type your reasons for electing the nominee using categories 1-5 below 1. Must be pursuing a degree in health administration, dietetics, nutrition, pharmacy, clinical laboratory sciences (medical technology), respiratory therapy, health information management, nursing, physician assistant, speech pathology, dental hygiene, or health education .................................................................................................................................... 2. Must be pursuing a 4-year, Bachelor’s Degree or the Doctor of Pharmacy Degree (a 6-year, entry level degree program) ...................................................................................................... 3. Must be actively involved in community service ...................................................................... 4. Must demonstrate leadership qualities ....................................................................................... 5. Must have an overall GPA of at least 3.0 or higher on a 4.0 grading system. Prior semester must also reflect a GPA of at least 3.0 or higher (A current transcript must be attached to this form.) ........................................................................................................................................... 6. Must provide documentation on all of the above stated eligibility requirements: e.g., newspaper clippings, pictures, etc. Letters of reference to be attached: one from the Graduate Advisor, Basileus of the graduate sponsoring chapter, and a college official .............................
10 points 10 points 20 points 20 points
10 points
15 points
SIGNATURES Basileus Please Print
Signature
Please Print
Signature
Graduate Advisor
The postmark date must be no later than February 8, 2014. REGIONAL AWARDS COMMITTEE USE ONLY: Received by
Date
Postmark Date
FORM 15
- 28 -
Shirley R. Fisher Science and Mathematics Excellence Award Awarded to an Undergraduate soror who is enrolled in a 4-year college or university studying to receive a Bachelor degree majoring in Physics, Chemistry or Mathematics. Nominee Chapter
Location
Chapter Mailing Address Street
City
Expected Graduation Date
Major
State
Zip
Telephone
Minor
CRITERIA FOR SELECTION The successful applicant for this award: 1. Must be an active member of Alpha Kappa Alpha Sorority, Inc. in good standing .......................
10 points
2. Must be a sophomore or junior ...................................................................................................
5 points
3. Must be a full-time undergraduate student matriculating at a college or university within the South Central Region ...................................................................................................................
5 points
4. Must have a 2.8 (4.0 system) or above GPA the semester/quarter prior to application ............
10 points
5. Must be involved in chapter sponsored school and community service projects, which support our International program goals and targets. Nominee’s role in the events or activities must be clearly stated .................................................................................................................
35 points
6. Must present documentation on all of the above stated eligibility requirements ......................
35 points
SIGNATURES Basileus Please Print
Signature
Please Print
Signature
Graduate Advisor
The postmark date must be no later than February 8, 2014.
REGIONAL AWARDS COMMITTEE USE ONLY: Received by
Date
Postmark Date
FORM 16
- 29 -
Gwendolyn J. Brinkley Fine Arts Award Awarded to a Graduate soror who has made the greatest contribution and demonstrated a personal commitment toward the Fine Arts program in her chapter. Nominee Chapter
Location
Chapter Mailing Address Street
City
State
Zip
Telephone
CRITERIA FOR SELECTION The successful applicant for this award: 1. Must list and describe activities engaged in the community that were sponsored by the sorority (action photos, documentation, etc.) .............................................................................
25 points
2. Must list special awards, recognition and citations obtained .....................................................
10 points
3. Must list outstanding contributions made to the Arts program in the local schools or universities .................................................................................................................................
25 points
4. Other activities or volunteer services not covered in # 1 ...........................................................
25 points
5. Serves on the Fine Arts committee in her chapter .....................................................................
15 points
Must submit supporting documentation/materials for all of the above eligibility requirements.
SIGNATURES Basileus’ Signature Basileus’ Printed Name
The postmark date must be no later than February 8, 2014. REGIONAL AWARDS COMMITTEE USE ONLY: Received by
Date
Postmark Date
FORM 18
Alpha Kappa Alpha Sorority, Inc. 82nd South Central Regional Conference - 30 -
Graduate Good Citizen Award Nominee Chapter
Location
Chapter Mailing Address Street
City
State
Zip
Telephone
CRITERIA FOR SELECTION On a separate sheet(s) give specific reasons for nominating the soror using the following categories: 1. Background (include education, certificates, etc.) .....................................................................
10 points
2. Community service (February 1, 2013 through February 1, 2014) ...........................................
20 points
3. Sorority service (local, regional, international – February 1, 2013 through February 1, 2014) .............................................................................
20 points
4. Special awards, recognitions, citations, etc. received prior to February 1, 2014 ......................
10 points
5. Bonus points for appointments or elections to international, national, state and local boards and offices ......................................................................................................................
10 points
6. Other volunteer service - include any other activities that are volunteer services and that are not covered in #5 ...........................................................................................................
10 points
Supporting materials must accompany this form for full consideration in judging.
SIGNATURES Basileus’ Signature Basileus’ Printed Name Grammateus’ Signature Grammateus’ Printed Name
The postmark date must be no later than February 8, 2014. REGIONAL AWARDS COMMITTEE USE ONLY: Received by
Date
Postmark Date
FORM 19
- 31 -
Graduate Advisor of the Year Award Chapter Size:
Small (1-75 members)
Medium (76-150 members)
Large (151+ members)
Nominee Chapter
Location
Graduate Advisor of
Chapter Phone Undergraduate Chapter
1. Creativity in supervision (Rate each category) Excellent = 2 Points Good = 1 Point Characteristics
Rating
Poor = 0 Points Characteristics
Skills in handling problems
Firmness, fairness, flexibility
Tact, tolerance, patience, understanding
Objectivity
Rating
Resourcefulness 2. Knowledge of sorority Constitution and Bylaws, structure and operations, and the ability to relate them to chapter problems. (Give examples in number 8 below) ...................... 3. Availability of soror for Chapter, Regional, Boule purposes, Cluster Retreat, Undergraduate Roundup ............................................................................................................ 4. Knowledge of campus rules and regulations, and relationships with college officials. (Give examples in number 8 below) .......................................................................................... 5. Relationship with sorors (Describe and cite examples in number 8 below) ............................. 6. Ability to model effective leadership skills (Describe and cite examples in number 8 below) ........................................................................................................................................ 7. Ability to involve graduate sorors in meaningful relationships with the undergraduate chapter (Give examples in number 8 below) .......................................................................................... 8. Attach a brief statement summarizing your major reason(s) for recommending nominee 9. Attach supporting letters or other relevant information .............................................................
10 points 10 points 15 points 20 points 20 points 10 points 15 points
Undergraduates to complete #1 and #7 SIGNATURES Basileus Please Print
Signature
Please Print
Signature
Please Print
Signature
Basileus – Undergraduate Chapter Graduate Advisor
The postmark date must be no later than February 8, 2014. REGIONAL AWARDS COMMITTEE USE ONLY: Received by
Date
Postmark Date
FORM 20
- 32 -
Outstanding Basileus Award Chapter Chapter Size
Graduate Small (1-75 members)
Undergraduate Medium (76-150 members)
Large (151+ members)
Nominee Chapter
Location
Chapter Mailing Address Street
City
State
Zip
Telephone
CRITERIA FOR SELECTION 1. For your administration validate the following: a. Chapter’s support of current International Programs ........................................................... b. Chapter’s support of Regional Programs ............................................................................. 2. Outstanding contributions to the community (religious, political, cultural, civic and educational) from February 1, 2013 through February 1, 2014 (Attach documentation) .......... 3. Provide documentation of new programs implemented by the chapter during your administration since February 1, 2013. Show the year implemented and rationale for the program ................................................................................................................................ 4. List the Regional Conferences, Boules, Leadership Seminars, Cluster Retreats and other Sorority meetings attended by the nominee during the past five years. Give the year each meeting was attended (Attach statement) ................................................................. 5. Describe the nominee’s leadership ability in terms of promptness, program quality, timeliness, and promoting the sorority program (Attach statement) ........................................ 6. Document the chapter’s visibility in the community. Provide evidence of increased public awareness of your chapter’s community involvement .................................................... 7. State your major reason(s) for recommending the nominee for this award (Attach statement) ......................................................................................................................
15 points 10 points 15 points
20 points
5 points 10 points 15 points 10 points
SIGNATURES Basileus’ Signature Basileus’ Printed Name Grammateus’ Signature Grammateus’ Printed Name
The postmark date must be no later than February 8, 2014. REGIONAL AWARDS COMMITTEE USE ONLY: Received by
Date
Postmark Date
FORM 21
- 33 -
Outstanding Initiate Award Chapter Chapter Size
Graduate Small (1-75 members)
Undergraduate Medium (76-150 members)
Large (151+ members)
Nominee Chapter
Location
Chapter Mailing Address Street
City
State
Zip
Telephone
Name of School (If Undergraduate Chapter)
CRITERIA FOR SELECTION 1. Performance as a Candidate for Membership ............................................................................ • • • • •
Relationship with other candidates Relationship with and concern for sorority and its member Demonstrations of cooperation, resourcefulness, ingenuity and creativity Demonstrations of leadership skills Participation in projects
2. Activity as a new soror .............................................................................................................. • • • • • •
30 points
Desire to participate in chapter meetings and projects in order to learn more about the members and the sorority Concern and sisterliness for other sorors Knowledge of chapter and sorority procedures and their applicability to chapter operations Attendance and participation in chapter meetings and chapter functions Attendance at Cluster, Regional Conference, Leadership Conference, or Boule Participation in activities of other organizations (Name of organization, type of activity, and role of soror)
3. Community Service .................................................................................................................. • •
30 points
20 points
Describe the new soror’s involvement in community and civic affairs List any honors and awards received including awards received during the year of initiation
4. Summarize why your chapter feels this soror merits the honor of new soror of the year .........
20 points
Explain all items fully using additional sheets if necessary Attach supporting materials (certificates, program, etc.) SIGNATURES Basileus Graduate Advisor Undergraduate Chapters Only
Please Print
Signature
Please Print
Signature
The postmark date must be no later than February 8, 2014. REGIONAL AWARDS COMMITTEE USE ONLY: Received by
Date
Postmark Date
FORM 22
- 34 -
Soror of the Year Award Chapter Chapter Size
Graduate Small (1-75 members)
Undergraduate Medium (76-150 members)
Large (151+ members)
Nominee Chapter
Location
Chapter Mailing Address Street
City
State
Zip
Telephone
This award will be judged by the 2014 South Central Regional and Cluster Awards Committee and the Regional Director based on the following qualities exemplified by a soror between February 1, 2013 and February 1, 2014 ONLY (except where other dates are indicated.) On separate sheets, give specific reasons and supporting documentation indicating why the soror has been nominated using the following criteria: 1. Sorority service (local, regional, and international) from February 1, 2013 through February 1, 2014 ........................................................................................................................
20 points
2. Community service from February 1, 2013 through February 1, 2014 .....................................
10 points
3. Special awards, etc., from February 1, 2013 through February 1, 2014 ....................................
10 points
4. Awards and recognitions received from other organizations in which you have been involved with through Alpha Kappa Alpha Sorority, Inc. .........................................................................
10 points
5. Support of International Program goals and targets through planning and implementation of activities or through other documented support .........................................................................
25 points
6. Support of the Educational Advancement Foundation (EAF) ...................................................
10 points
7. State your major reason(s) for recommending the nominee for this award ...............................
10 points
Supporting materials must accompany this form for full consideration in judging. SIGNATURES Basileus Please Print
Signature
Please Print
Signature
Please Print
Signature
Grammateus Graduate Advisor Undergraduate Chapters Only
The postmark date must be no later than February 8, 2014. REGIONAL AWARDS COMMITTEE USE ONLY: Received by
Date
Postmark Date
FORM 23
- 35 -
Golden Soror of the Year Award Nominee Chapter
Location
Chapter Mailing Address Street
City
State
Zip
Telephone
This Graduate award is based on achievements of the Golden Soror in the chapter. Consideration will be based on leadership, support of chapter activities, and implementation of goals of the sorority. Each category must be validated with supporting documents. A soror must be nominated by her chapter, and there can be only one chapter nominee per year. Entry information is not to exceed ten double-sided pages. CRITERIA FOR SELECTION The successful applicant for this award: 1. Must have been recognized by Corporate Office as a 50-year soror .........................................
20 points
2. Must have been financially active with participating chapter at least five (5) years immediately preceding her chapter’s nomination ......................................................................
20 points
3. Must provide evidence of active participation with two or more chapter committees at least two years immediately preceding her nomination .....................................................................
30 points
4. Be a lifetime member of Alpha Kappa Alpha Sorority, Inc. .....................................................
5 points
5. Present evidence of volunteer community service during the last five (5) years preceding her chapter’s nomination ..................................................................................................................
25 points
6. Other volunteer service - include any other activities that are volunteer services and that are not covered in #5 ........................................................................................................................
10 points
Supporting materials must accompany this form for full consideration in judging. SIGNATURES Basileus’ Signature Basileus’ Printed Name Grammateus’ Signature Grammateus’ Printed Name
The postmark date must be no later than February 8, 2014. REGIONAL AWARDS COMMITTEE USE ONLY: Received by
Date
Postmark Date
FORM 24
- 36 -
South Central AKA C.A.R.E.S. (Connection) Award Chapter
Graduate
Undergraduate
Name of Chapter
Region City/State
Basileus Email
Phone
Connection Chairman Email
Phone
This award will be considered for activities between January 2013 and December 2013. Only first place winners in each region will advance to the final competition. There will be one winner for undergraduate and one for a graduate chapter at the Regional Level. There will be one award presented at the Boule in 2014 in the undergraduate and graduate categories.
CRITERIA 1. Narrative ...................................................................................................................................
10 points
Identify how the chapter responded overall to the C.A.R.E.S. Initiative. Clearly state how the chapter successfully implemented the C.A.R.E.S. Initiative and identify how each project is sustainable.
2. Application of all aspects of C.A.R.E.S. .................................................................................
50 points
Convey how the chapter implemented each aspect of C.A.R.E.S. – collaboration, advocacy, registration, education, and stimulation.
3. Originality and Creativity .......................................................................................................
10 points
Explain how your projects were original, creative and effective.
4. Impact on the Community ......................................................................................................
10 points
Name and provide statistical information with respect to the groups you collaborated with. Identify the number of people impacted and how; e.g., how they were educated and stimulated (e.g. forums on voter identification, etc.). Identify the number of people registered and taken to the polls. Identify advocacy projects and explain how people benefited from them.
5. Media ..........................................................................................................................................
10 points
Provide documentation of media coverage of C.A.R.E.S. activities, including but not limited to copies of media clippings.
6. Evaluation ..................................................................................................................................
10 points
Describe how the program was evaluated and explain how the results will be used to improve the program that was implemented.
FORMAT / DOCUMENTATION Documentation must be electronically submitted in PDF form. Hard copies will be considered ineligible. All submissions must include (1) a narrative, (2) photographs, AND (3) newspaper and/or magazine clippings which capture the essence of the total program.
Submit all documentation to Desiree' Honore' Thomas by email at: dhonore@aol.com Entries must be received by February 1, 2014. SIGNATURES Basileus Please Print
Signature
Please Print
Signature
Grammateus
FORM 25
- 37 -
Excellence in Education Award Chapter
Graduate
Undergraduate
Chapter Size
Small (1-75 members)
Medium (76-150 members)
Chapter
Large (151+ members)
Location
Chapter Mailing Address Street
City
State
Zip
Telephone
CRITERIA FOR SELECTION 1. Promotion of the Faye B. Bryant Undergraduate Excellence Award by contributing generously to the scholarship fund ............................................................................................ 2. Awarding scholarship(s) at the local level ................................................................................. 3. Contributing or taking individual memberships in the Educational Advancement Foundation ................................................................................................................................... 4. Contributing to United Negro College Fund (UNCF) or affiliate organization ........................ 5. Support of International Program goals and targets through planning and implementation of activities or through other documented support ......................................................................... 6. Providing other incentives to students through special educational projects ............................
20 points 20 points 15 points 15 points 20 points 10 points
The chapter should clearly document activities in each of the categories above and attach supporting documentation. Briefly summarize the reason(s) you feel your chapter should receive special recognition for the promotion of EXCELLENCE IN EDUCATION.
SIGNATURES Basileus Please Print
Signature
Please Print
Signature
Please Print
Signature
Grammateus Graduate Advisor Undergraduate Chapters Only
The postmark date must be no later than February 8, 2014. REGIONAL AWARDS COMMITTEE USE ONLY: Received by
Date
Postmark Date
FORM 26
- 38 -
Reactivation: Reclaim Our Sorors Award Individual
Graduate Chapter
Deadline: February 8, 2014 The Reactivation Award will be awarded to the chapter or soror that reactivated the greatest number of sorors exceeding five (5). Please complete the form below, indicating all sorors reactivated by your chapter or by the individual soror from February 1, 2013 to January 31, 2014. Each line should be completed in its entirely for verification with Corporate Office. Duplicate this form if needed. Individuals Only: Attach confirmations/documentation to the form. Name
Address
City/State/Zip
Financial Card No.
Chapter Initiated
Year Initiated
SIGNATURES Basileus Please Print
Basileus’ Phone
Signature
Chapter
Grammateus Please Print
Signature
The postmark date must be no later than February 8, 2014. REGIONAL AWARDS COMMITTEE USE ONLY: Received by
Date
Postmark Date
FORM 27
- 39 -
Chapter of the Year Award Graduate Small (1-75 members)
Chapter Chapter Size
Undergraduate Medium (76-150 members)
Chapter
Large (151+ members)
Location
Chapter Mailing Address Street
City
State
Zip
Telephone
CRITERIA FOR SELECTION 1. Excellent reporting procedures ..................................................................................................
15 points
2. Excellent graduate/undergraduate relations ...............................................................................
15 points
3. Contributing to EAF; attendance at Boules, Regional Conferences, and Cluster Retreats ......
10 points
4. Community Activities, Awards, Recognitions, Citations received by the Community ............
15 points
5. Why your chapter should be selected as “Chapter of the Year” - 200 words or less ................
10 points
6. Connection activities ..................................................................................................................
10 points
7. Awarding scholarships on the local level .................................................................................
10 points
8. Chapter’s support of current international and regional programs ...........................................
15 points
Supporting materials must accompany this form for full consideration in judging.
SIGNATURES Basileus Please Print
Signature
Please Print
Signature
Please Print
Signature
Grammateus Graduate Advisor Undergraduate Chapters Only
The postmark date must be no later than February 8, 2014. REGIONAL AWARDS COMMITTEE USE ONLY: Received by
Date
Postmark Date
FORM 28
- 40 -
CHECKLIST B OTHER SUBMISSIONS
- 41 -
Checklist B – Other Submissions Chapter
Location
Chapter Mailing Address Street
City
State
Zip
Telephone
Phone
Soror Submitting Nomination
This checklist must be mailed prior to the conference. The postmark deadline is February 8, 2014. Unless specifically noted, for those entries submitted at the conference, a copy of this checklist must also be submitted along with the nomination forms and supporting materials to the Awards Committee by Thursday, March 13, 2014 at 8:00 p.m. Check each form that your chapter is submitting as a nomination: ____ Form 29 Outstanding Chapter Attendance Award ____ Form 30 Outstanding Chapter Scrapbook Award ____ Form 31 Outstanding Chapter Exhibit Award ____ Form 32 Outstanding GLTTS Program Award ____ Form 33 Emerging Young Leaders Award ____ Form 34 Health Initiative Program Award ____ Form 35 Global Poverty Initiative Program Award ____ Form 36 Economic Security Initiative Program Award ____ Form 37 Social Justice and Human Rights Initiative Program Award ____ Form 38 American Cancer Society Award ____ Form 39 American Diabetes Association Award ____ Form 40 American Heart Association Award ____ Form 41 American Kidney Fund Award ____ Form 42 Pearls of Power Award ____ Form 43 Asthma Prevention & Management Initiative Award SIGNATURES Basileus Please Print
Signature
Please Print
Signature
Please Print
Signature
Grammateus Chapter Awards Chairman
REGIONAL AWARDS COMMITTEE USE ONLY: Received by
Date
Time
- 42 -
Outstanding Chapter Attendance Award Chapter Chapter Size
Graduate Small (1-75 members)
Undergraduate Medium (76-150 members)
Chapter
Large (151+ members)
Location
Educational Institution (Undergraduate Chapters Only)
1. Number of active members in chapter 2. Number of members in attendance at this conference – Delegates 3. Number of members in attendance at this conference – Alternates 4. Number of members in attendance at this conference – Others 5. Percentage of active chapter members present at the Regional Conference Percentage is determined as follows: Sum answers of items 2, 3 and 4, divide by item 1, multiply by 100.
SIGNATURES (verifying information above) Local Registration Chairman Regional Awards Chairman SIGNATURES Basileus Please Print
Signature
Please Print
Signature
Please Print
Signature
Grammateus Graduate Advisor Undergraduate Chapters Only
Please bring this form to the Regional Conference. For consideration, it must be turned in to the Awards Committee no later than Saturday, March 15, 2014 at 9:00 a.m. REGIONAL AWARDS COMMITTEE USE ONLY: Received by
Date
Time
FORM 29
- 43 -
Outstanding Chapter Scrapbook Award Graduate Small (1-75 members)
Chapter Chapter Size
Undergraduate Medium (76-150 members)
Chapter
Large (151+ members)
Location
Sorors Preparing Scrapbook
The scrapbook should reflect the chapter’s programs from February 1, 2013 to February 1, 2014. All pictures and other information in the scrapbook should be carefully labeled and should include their relevance to specific aspects of the chapter’s programs. The scrapbook will be judged on the following: 1. General appearance, quality of craftsmanship, creativity of design ..........................................
15 points
2. Clarity of information, neatness ................................................................................................
15 points
3. Community service activities .....................................................................................................
20 points
4. Public relations and chapter image ............................................................................................
15 points
5. Outstanding contributions of individual sorors ..........................................................................
15 points
6. Reflection of international and local program targets ................................................................
20 points
Supporting materials must accompany this form for full consideration in judging. SIGNATURES Basileus Please Print
Signature
Please Print
Signature
Please Print
Signature
Grammateus Graduate Advisor Undergraduate Chapters Only
Please bring this form to the Regional Conference. For consideration, it must be turned in to the Awards Committee no later than Thursday, March 13, 2014 at 8:00 p.m.
REGIONAL AWARDS COMMITTEE USE ONLY: Received by
Date
Time
FORM 30
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Outstanding Chapter Exhibit Award Chapter Chapter Size
Graduate Small (1-75 members)
Undergraduate Medium (76-150 members)
Chapter
Large (151+ members)
Location
Sorors Preparing Exhibit
This award is for the chapter exhibit that best illustrates the implementation of Alpha Kappa Alpha international programs. CRITERIA Please submit with your exhibit a one-page, double-spaced typed description, which includes the following. All exhibits should depict one or more of the following concentrations: • Program services - Objective: to highlight the vehicle through which Alpha Kappa Alpha fulfills the commitment of the international program platform: Emerging Young Leaders, Health, Global Poverty, Economic Security, Social Justice and Human Rights, and Internal Leadership Training for External Service. • Organizational Impact and Collaboration - Objective: to enhance communication and effectiveness among organizations within the community (i.e., NCNW, UNCF, NAACP, Urban League, etc.) and to further accentuate Alpha Kappa Alpha’s image as a service organization. • Sorority - Objective: to demonstrate support for Alpha Kappa Alpha, Incorporated programs, the Educational Advancement Foundation, Leadership Fellows programs, Domestic Travel Grants, and AKA Connection. • Reactivation - Objective: to highlight those programs that promotes reactivation. Scores will be based on the following: 1. Appearance ................................................................................................................................ 2. Programmatic Theme ................................................................................................................ 3. Originality / Creativity ............................................................................................................... 4. Programmatic Implementation ...................................................................................................
15 points 15 points 20 points 15 points
SIGNATURES Basileus Please Print
Signature
Please Print
Signature
Please Print
Signature
Grammateus Graduate Advisor Undergraduate Chapters Only
Please bring this form to the Regional Conference. For consideration, it must be turned in to the Awards Committee no later than Thursday, March 13, 2014 at 8:00 p.m.
REGIONAL AWARDS COMMITTEE USE ONLY: Received by
Date
Time
FORM 31
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GLOBAL LEADERSHIP THROUGH TIMELESS SERVICE AWARDS (GLTTS) The below criteria is for Graduate and Undergraduate chapters. •
The points system will determine the first, second, and third place winners at the Regional competitions.
•
Only 1st place winners per region will advance to the Boule competition.
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Outstanding GLTTS Program Award Inspired by a dedicated investment of human capital and a bold commitment to the principles of basic human rights, we shall devote our talent and resources to this cause. Awareness, advocacy and action are the primary vehicles for the worldwide delivery of our service initiatives: Emerging Young Leaders, Health, Global Poverty, Economic Security, Social Justice and Human Rights, and Internal Leadership Training for External Service. To be eligible for this award, the chapter must describe the chapter’s involvement in ALL GLTTS Initiatives since the last regional conference for each area included in the Awards Judging Criteria. Chapter Chapter Size
Graduate Small (1-75 members)
Undergraduate Medium (76-150 members)
Chapter
Location
Phone Number
Region Large (151+ members)
1. Narrative ........................................................................................................................................................... The chapter must identify how it responded overall to the GLTTS program initiatives. The specific programs convened under each initiative must be clearly identified. The chapter must clearly state why these programs were outstanding. 2. Program Goals and Objectives ...................................................................................................................... Identify the program goals and objectives clearly 3. Partnerships . .................................................................................................................................................... Identify the organizations that partnered with the chapter on the program(s). The role of the project partners should be articulated, along with the length of the relationship with project partners. 4. Originality and Creativity ............................................................................................................................... This criterion represents the originality and creativity of the awards entry and/or program. 5. Program Implementation ................................................................................................................................ Describe how the programs were implemented and executed. For example, applicants should include the agenda(s) from the program(s), the target audience, the number of sorors in attendance, the number of people that attended, and the number of chapter members that participated in project planning. The perceived impact of the program(s) should also be articulated and reasons for perception should be provided. 6. Media ................................................................................................................................................................ Explain how the program information was disseminated for both pre- and post-media coverage. Copies of media products should be provided. 7. Evaluation ......................................................................................................................................................... Describe how the program(s) were evaluated. The evaluation should include, but need not be limited to, the required program report forms sent to the regional and international office on time.
10 points
15 points 15 points
15 points 25 points
10 points
10 points
SIGNATURES Basileus Please Print
Signature
Please Print
Signature
Graduate Advisor Undergraduate Chapters Only
Please bring this form to the Regional Conference. For consideration, it must be turned in to the Awards Committee no later than Thursday, March 13, 2014 at 8:00 p.m. REGIONAL AWARDS COMMITTEE USE ONLY: Received by
Date
Time
FORM 32
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Emerging Young Leaders Award The purpose of Emerging Young Leaders is to have a positive impact on the lives of 20,000 girls in grades 6th through 8th by the implementation of innovative programs which provide leadership skills development, civic engagement, enhanced academic preparation and character building. The Emerging Young Leaders Signature program provides a sound foundation for our Emerging Young Leaders to achieve personal success. Describe the chapter’s involvement in the EYL Initiative since the last regional conference. Note: Chapters are not permitted to change the name of Emerging Young Leaders Signature program groups. If the name has been altered, your submission will be disqualified. Chapter Chapter Size
Graduate Small (1-75 members)
Undergraduate Medium (76-150 members)
Chapter
Region Large (151+ members)
Location
Chapter Campus Phone Number
1. Narrative ........................................................................................................................................................... The chapter must identify how it responded overall to the GLTTS program initiatives. The specific programs convened under each initiative must be clearly identified. The chapter must clearly state why these programs were outstanding. 2. Program Goals and Objectives ...................................................................................................................... Identify the program goals and objectives clearly. 3. Partnerships ..................................................................................................................................................... Identify the organizations that partnered with the chapter on the program(s). The role of the project partners should be articulated, along with the length of the relationship with project partners. 4. Originality and Creativity ............................................................................................................................... This criterion represents the originality and creativity of the awards entry and/or program. 5. Program Implementation Describe how the programs were implemented and executed to communicate the importance of the following Emerging Young Leader AKAdemies: Leadership Skills Development ............................................................................................................... Educational Enrichment .......................................................................................................................... Civic Engagement ................................................................................................................................... Character Building .................................................................................................................................. 6. Media ................................................................................................................................................................ Explain how the program information was disseminated for both pre- and post-media coverage. Copies of media products should be provided. 7. Evaluation ......................................................................................................................................................... Describe how the program(s) were evaluated. The evaluation should include, but need not be limited to, the required program report forms sent to the regional and international office on time.
10 points
15 points 20 points
15 points
5 points 5 points 5 points 5 points 10 points
10 points
SIGNATURES Basileus Please Print
Signature
Please Print
Signature
Graduate Advisor Undergraduate Chapters Only
Please bring this form to the Regional Conference. For consideration, it must be turned in to the Awards Committee no later than Thursday, March 13, 2014 at 8:00 p.m. REGIONAL AWARDS COMMITTEE USE ONLY: Received by
Date
Time
FORM 33
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Health Initiative Program Award Our Health is our wealth. These initiatives encourage personal fitness and healthy lifestyles. Through our partnerships, we will advance access to treatment and coordinate awareness and advocacy campaigns to reduce health disparities, mitigate disease which disproportionately impact women and minorities and impact health-related legislation. Awareness, advocacy and action are the primary vehicles for the worldwide delivery of our health initiatives (Asthma Prevention and Environmental Stewardship and Sustainability). Describe the chapter’s involvement in the GLTTS Health Initiative since the last regional conference. Chapter Chapter Size
Graduate Small (1-75 members)
Undergraduate Medium (76-150 members)
Chapter
Location
Phone Number
Region Large (151+ members)
1. Narrative ........................................................................................................................................................... The chapter must identify how it responded overall to the GLTTS program initiatives. The specific programs convened under each initiative must be clearly identified. The chapter must clearly state why these programs were outstanding. 2. Program Goals and Objectives ...................................................................................................................... Identify the program goals and objectives clearly. 3. Partnerships ..................................................................................................................................................... Identify the organizations that partnered with the chapter on the program(s). The role of the project partners should be articulated, along with the length of the relationship with project partners. 4. Originality and Creativity ............................................................................................................................... This criterion represents the originality and creativity of the awards entry and/or program. 5. Program Implementation ................................................................................................................................ Describe how the programs were implemented and executed. For example, applicants should include the agenda(s) from the program(s), the target audience, the number of sorors in attendance, the number of people that attended, and the number of chapter members that participated in project planning. The perceived impact of the program(s) should also be articulated and reasons for perception should be provided. 6. Media ......................................................................................................................................................... Explain how the program information was disseminated for both pre- and post-media coverage. Copies of media products should be provided. 7. Evaluation ......................................................................................................................................................... Describe how the program(s) were evaluated. The evaluation should include, but need not be limited to, the required program report forms sent to the regional and international office on time.
10 points
15 points 15 points
15 points 25 points
10 points
10 points
SIGNATURES Basileus Please Print
Signature
Please Print
Signature
Graduate Advisor Undergraduate Chapters Only
Please bring this form to the Regional Conference. For consideration, it must be turned in to the Awards Committee no later than Thursday, March 13, 2014 at 8:00 p.m. REGIONAL AWARDS COMMITTEE USE ONLY: Received by
Date
Time
FORM 34
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Global Poverty Initiative Program Award AKAs will be ambassadors to address the Global Poverty in area regions and across the global. The goal of this initiative is to join the fight to end hunger and malnutrition, preserve the environment, and empower women. Through our partnerships, we will develop self-help projects and awareness campaigns. Alpha Kappa Alpha will provide education in sustainable food practices that will empower women to be equal partners in ending poverty and hunger. Describe the chapter’s involvement in the GLTTS Global Poverty Initiative since the last regional conference. Chapter Chapter Size
Graduate Small (1-75 members)
Undergraduate Medium (76-150 members)
Chapter
Location
Phone Number
Region Large (151+ members)
1. Narrative ........................................................................................................................................................... The chapter must identify how it responded overall to the GLTTS program initiatives. The specific programs convened under each initiative must be clearly identified. The chapter must clearly state why these programs were outstanding. 2. Program Goals and Objectives ...................................................................................................................... Identify the program goals and objectives clearly. 3. Partnerships ..................................................................................................................................................... Identify the organizations that partnered with the chapter on the program(s). The role of the project partners should be articulated, along with the length of the relationship with project partners. 4. Originality and Creativity ............................................................................................................................... This criterion represents the originality and creativity of the awards entry and/or program. 5. Program Implementation ................................................................................................................................ Describe how the programs were implemented and executed. For example, applicants should include the agenda(s) from the program(s), the target audience, the number of sorors in attendance, the number of people that attended, and the number of chapter members that participated in project planning. The perceived impact of the program(s) should also be articulated and reasons for perception should be provided. 6. Media ................................................................................................................................................................ Explain how the program information was disseminated for both pre- and post-media coverage. Copies of media products should be provided. 7. Evaluation ......................................................................................................................................................... Describe how the program(s) were evaluated. The evaluation should include, but need not be limited to, the required program report forms sent to the regional and international office on time.
10 points
15 points 15 points
15 points 25 points
10 points
10 points
SIGNATURES Basileus Please Print
Signature
Please Print
Signature
Graduate Advisor Undergraduate Chapters Only
Please bring this form to the Regional Conference. For consideration, it must be turned in to the Awards Committee no later than Thursday, March 13, 2014 at 8:00 p.m. REGIONAL AWARDS COMMITTEE USE ONLY: Received by
Date
Time
FORM 35
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Economic Security Initiative Program Award Wealth building is essential for Economic Security. This initiative supports the efforts to build wealth, to allocate resources, home ownership, assets protection, estate planning, and access to capital. Alpha Kappa Alpha Sorority, Inc. will support and empower female owned businesses and urban enterprise zones. Describe the chapter’s involvement in the GLTTS Economic Security Initiative since the last regional conference. Chapter Chapter Size
Graduate Small (1-75 members)
Undergraduate Medium (76-150 members)
Chapter
Location
Phone Number
Region Large (151+ members)
1. Narrative ........................................................................................................................................................... The chapter must identify how it responded overall to the GLTTS program initiatives. The specific programs convened under each initiative must be clearly identified. The chapter must clearly state why these programs were outstanding. 2. Program Goals and Objectives ...................................................................................................................... Identify the program goals and objectives clearly. 3. Partnerships ..................................................................................................................................................... Identify the organizations that partnered with the chapter on the program(s). The role of the project partners should be articulated, along with the length of the relationship with project partners. 4. Originality and Creativity ............................................................................................................................... This criterion represents the originality and creativity of the awards entry and/or program. 5. Program Implementation ................................................................................................................................ Describe how the programs were implemented and executed. For example, applicants should include the agenda(s) from the program(s), the target audience, the number of sorors in attendance, the number of people that attended, and the number of chapter members that participated in project planning. The perceived impact of the program(s) should also be articulated and reasons for perception should be provided. 6. Media ................................................................................................................................................................ Explain how the program information was disseminated for both pre- and post-media coverage. Copies of media products should be provided. 7. Evaluation ......................................................................................................................................................... Describe how the program(s) were evaluated. The evaluation should include, but need not be limited to, the required program report forms sent to the regional and international office on time.
10 points
15 points 15 points
15 points 25 points
10 points
10 points
SIGNATURES Basileus Please Print
Signature
Please Print
Signature
Graduate Advisor Undergraduate Chapters Only
Please bring this form to the Regional Conference. For consideration, it must be turned in to the Awards Committee no later than Thursday, March 13, 2014 at 8:00 p.m. REGIONAL AWARDS COMMITTEE USE ONLY: Received by
Date
Time
FORM 36
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Social Justice and Human Rights Initiative Program Award Alpha Kappa Alpha Sorority, Inc. will advocate for social justice and human rights for all. This initiative addresses gender equality issues including: human trafficking and domestic violence, services for children with incarcerated parents, youth aging out of foster care and children in homeless shelters. Voter empowerment, access to technology, training of parents as advocates for educational and health care needs of children, and support of the arts will be emphasized. Describe the chapter’s involvement in the GLTTS Social Justice & Human Right Initiatives since the last regional conference. Chapter Chapter Size
Graduate Small (1-75 members)
Undergraduate Medium (76-150 members)
Chapter
Location
Phone Number
Region Large (151+ members)
1. Narrative ........................................................................................................................................................... The chapter must identify how it responded overall to the GLTTS program initiatives. The specific programs convened under each initiative must be clearly identified. The chapter must clearly state why these programs were outstanding. 2. Program Goals and Objectives ...................................................................................................................... Identify the program goals and objectives clearly. 3. Partnerships ..................................................................................................................................................... Identify the organizations that partnered with the chapter on the program(s). The role of the project partners should be articulated, along with the length of the relationship with project partners. 4. Originality and Creativity ............................................................................................................................... This criterion represents the originality and creativity of the awards entry and/or program. 5. Program Implementation ................................................................................................................................ Describe how the programs were implemented and executed. For example, applicants should include the agenda(s) from the program(s), the target audience, the number of sorors in attendance, the number of people that attended, and the number of chapter members that participated in project planning. The perceived impact of the program(s) should also be articulated and reasons for perception should be provided. 6. Media ................................................................................................................................................................ Explain how the program information was disseminated for both pre- and post-media coverage. Copies of media products should be provided. 7. Evaluation ......................................................................................................................................................... Describe how the program(s) were evaluated. The evaluation should include, but need not be limited to, the required program report forms sent to the regional and international office on time.
10 points
15 points 15 points
15 points 25 points
10 points
10 points
SIGNATURES Basileus Please Print
Signature
Please Print
Signature
Graduate Advisor Undergraduate Chapters Only
Please bring this form to the Regional Conference. For consideration, it must be turned in to the Awards Committee no later than Thursday, March 13, 2014 at 8:00 p.m. REGIONAL AWARDS COMMITTEE USE ONLY: Received by
Date
Time
FORM 37
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HEALTH PARTNER AWARDS Alpha Kappa Alpha Sorority’s four health partners seek to recognize chapters from each region that have committed to enhancing the goals and objectives of their organization through “service to all mankind” as well as improving the health status of the local communities. The awards are established to provide recognition for the development and implementation of excellent health promotions during the 2013 calendar year. •
The points system will determine nominees at the Regional Level.
•
The top 3 chapters from each region will be recognized during Regional Conference.
•
The national health partner will select the 1st place winner from each region.
•
The 3 regional nominees will be selected based on the published criteria by the Regional Program Representative and the Regional Program Committee.
•
Programs where the primary contribution of the chapter is financial will not be considered.
•
All entries will only be accepted electronically in PDF format.
•
The Awards will be presented during the 2014 Boule.
•
Alpha Kappa Alpha Sorority, Incorporated and its partners reserve the right to use submitted applications, in whole or in part, for training and technical assistance purposes.
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American Cancer Society Award Graduate
Undergraduate
Region
Name of Chapter
City/State
Basileus Email
Phone
Program Chairman Email
Phone
1. Narrative (one page limit) ...................................................................................................................... The chapter should summarize the purpose of the project/initiative, e.g. what issues they sought to address and the strategies employed; a brief explanation why the project is deserving of recognition; highlight the principal results and impacts achieved to date. Include resources obtained from the national partner. 2. Event Goals and Objectives .................................................................................................................. Describe the purpose(s) of the project and what it seeks to accomplish through the sorority's national partnership with the organization. 3. Partnerships ........................................................................................................................................... Identify the organizations that partnered with the chapter on the event(s). The role of the project partners should be articulated, along with the length of the relationship with project partners. 4. Originality and Creativity .................................................................................................................... This criterion represents the originality and creativity of the event (s). If a chapter is submitting a program that primarily uses materials or program elements developed by another organization, the chapter must have substantially built on or added new program components. 5. Program Implementation ..................................................................................................................... Describe how the event was implemented and executed. For example, applicants should include the agenda(s) from the program(s), the target audience, the number of sorors and participants in attendance, speakers, event format, etc. 6. Media ...................................................................................................................................................... Explain how the event information was disseminated for both pre- and post-media coverage. Copies of media products should be provided. Include photos or other visuals that depict or otherwise tell the story of the initiative. 7. Evaluation .............................................................................................................................................. Provide concrete evidence of up to three (3) major accomplishments/achievements of the program or initiative. The evaluation should include, but need not be limited to, the required program report forms.
10 points
15 points
15 points
15 points
25 points
10 points
10 points
Submit all documentation in PDF format to Patricia Webb via email at: programs@akasouthcentral.org Entries must be received by February 15, 2014. SIGNATURES Basileus Graduate Advisor Undergraduate Chapters Only
Please Print
Signature
Please Print
Signature
FORM 38
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American Diabetes Association Award Graduate
Undergraduate
Region
Name of Chapter Basileus
City/State
Phone
Program Chairman Email
Phone
1. Narrative (one page limit) ...................................................................................................................... The chapter should summarize the purpose of the project/initiative, e.g. what issues they sought to address and the strategies employed; a brief explanation why the project is deserving of recognition; highlight the principal results and impacts achieved to date. Include resources obtained from the national partner. 2. Event Goals and Objectives .................................................................................................................. Describe the purpose(s) of the project and what it seeks to accomplish through the sorority's national partnership with the organization. 3. Partnerships ........................................................................................................................................... Identify the organizations that partnered with the chapter on the event(s). The role of the project partners should be articulated, along with the length of the relationship with project partners. 4. Originality and Creativity .................................................................................................................... This criterion represents the originality and creativity of the event (s). If a chapter is submitting a program that primarily uses materials or program elements developed by another organization, the chapter must have substantially built on or added new program components. 5. Program Implementation ..................................................................................................................... Describe how the event was implemented and executed. For example, applicants should include the agenda(s) from the program(s), the target audience, the number of sorors and participants in attendance, speakers, event format, etc. 6. Media ...................................................................................................................................................... Explain how the event information was disseminated for both pre- and post-media coverage. Copies of media products should be provided. Include photos or other visuals that depict or otherwise tell the story of the initiative. 7. Evaluation .............................................................................................................................................. Provide concrete evidence of up to three (3) major accomplishments/achievements of the program or initiative. The evaluation should include, but need not be limited to, the required program report forms.
10 points
15 points
15 points
15 points
25 points
10 points
10 points
Submit all documentation in PDF format to Patricia Webb via email at: programs@akasouthcentral.org Entries must be received by February 15, 2014. SIGNATURES Basileus Graduate Advisor Undergraduate Chapters Only
Please Print
Signature
Please Print
Signature
FORM 39
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American Heart Association Award Graduate
Undergraduate
Region
Name of Chapter
City/State
Basileus Email
Phone
Program Chairman Email
Phone
1. Narrative (one page limit) ...................................................................................................................... The chapter should summarize the purpose of the project/initiative, e.g. what issues they sought to address and the strategies employed; a brief explanation why the project is deserving of recognition; highlight the principal results and impacts achieved to date. Include resources obtained from the national partner. 2. Event Goals and Objectives .................................................................................................................. Describe the purpose(s) of the project and what it seeks to accomplish through the sorority's national partnership with the organization. 3. Partnerships ........................................................................................................................................... Identify the organizations that partnered with the chapter on the event(s). The role of the project partners should be articulated, along with the length of the relationship with project partners. 4. Originality and Creativity .................................................................................................................... This criterion represents the originality and creativity of the event (s). If a chapter is submitting a program that primarily uses materials or program elements developed by another organization, the chapter must have substantially built on or added new program components. 5. Program Implementation ..................................................................................................................... Describe how the event was implemented and executed. For example, applicants should include the agenda(s) from the program(s), the target audience, the number of sorors and participants in attendance, speakers, event format, etc. 6. Media ...................................................................................................................................................... Explain how the event information was disseminated for both pre- and post-media coverage. Copies of media products should be provided. Include photos or other visuals that depict or otherwise tell the story of the initiative. 7. Evaluation .............................................................................................................................................. Provide concrete evidence of up to three (3) major accomplishments/achievements of the program or initiative. The evaluation should include, but need not be limited to, the required program report forms.
10 points
15 points
15 points
15 points
25 points
10 points
10 points
Submit all documentation in PDF format to Patricia Webb via email at: programs@akasouthcentral.org Entries must be received by February 15, 2014. SIGNATURES Basileus Graduate Advisor Undergraduate Chapters Only
Please Print
Signature
Please Print
Signature
FORM 40
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American Kidney Fund Award Graduate
Undergraduate
Region
Name of Chapter
City/State
Basileus Email
Phone
Program Chairman Email
Phone
1. Narrative (one page limit) ...................................................................................................................... The chapter should summarize the purpose of the project/initiative, e.g. what issues they sought to address and the strategies employed; a brief explanation why the project is deserving of recognition; highlight the principal results and impacts achieved to date. Include resources obtained from the national partner. 2. Event Goals and Objectives .................................................................................................................. Describe the purpose(s) of the project and what it seeks to accomplish through the sorority's national partnership with the organization. 3. Partnerships ........................................................................................................................................... Identify the organizations that partnered with the chapter on the event(s). The role of the project partners should be articulated, along with the length of the relationship with project partners. 4. Originality and Creativity .................................................................................................................... This criterion represents the originality and creativity of the event (s). If a chapter is submitting a program that primarily uses materials or program elements developed by another organization, the chapter must have substantially built on or added new program components. 5. Program Implementation ..................................................................................................................... Describe how the event was implemented and executed. For example, applicants should include the agenda(s) from the program(s), the target audience, the number of sorors and participants in attendance, speakers, event format, etc. 6. Media ...................................................................................................................................................... Explain how the event information was disseminated for both pre- and post-media coverage. Copies of media products should be provided. Include photos or other visuals that depict or otherwise tell the story of the initiative. 7. Evaluation .............................................................................................................................................. Provide concrete evidence of up to three (3) major accomplishments/achievements of the program or initiative. The evaluation should include, but need not be limited to, the required program report forms.
10 points
15 points
15 points
15 points
25 points
10 points
10 points
Submit all documentation in PDF format to Patricia Webb via email at: programs@akasouthcentral.org Entries must be received by February 15, 2014. SIGNATURES Basileus Graduate Advisor Undergraduate Chapters Only
Please Print
Signature
Please Print
Signature
FORM 41
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OTHER AWARDS Please read the entry form to determine requirements for the specific award.
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Pearls of Power Award
Recognizing chapters that excel in the RIGHT way… Cumulative GPA of 3.0 and above Covered all Program Initiatives and held additional Service Programs from 2012-2013 Has representation in campus leadership positions NPHC, NAACP, Student Government, etc. Small Chapters – 30% Medium Sized Chapters – 20% Large Chapters – 10% Picture of chapter wearing Pearls of Power T-shirt Submit documents to the South Central Region Representative to the Undergraduate Activities Committee, Soror Torrie Jackson, at torriej09@yahoo.com Deadline to submit documents is January 31, 2014 Recipients will receive a Pearls of Power Medallion with their chapter name engraved and be recognized at Regional Conference Documents for Submission: Unofficial Chapter Grade Report (i.e., Greek Life Report) Printed End Of Year Program Report Spreadsheet listing chapter members and their leadership involvement in extracurricular activities FORM 42
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ASTHMA PREVENTION & MANAGEMENT INITIATIVE (APMI) AWARD The Alpha Kappa Alpha Sorority, Incorporated Best Practices Asthma Prevention and Management Initiative (APMI) Awards will be presented to chapters demonstrating best practices. Awards recognize excellence in planning and implementation of asthma programs in grades K-3 and 4-6. The CRITERIA listed below are for Graduate and Undergraduate Chapters. • • • •
A points system will determine the 1st, 2nd, and 3rd place winners at the Regional and Boule competitions. Only the TOP THREE 1st place winners, with the highest overall score per category, will advance to the Boule competition. Regional Guidelines will be used to determine the Chapter size of Small, Medium, or Large for purposes of judging the APMI Awards at the Regional Level competitions. Undergraduate Chapters will only receive 1st, 2nd, and 3rd place awards. There will be no awards based upon chapter size.
The JUDGING criteria listed below are for Graduate and Undergraduate Chapters. • • • • • •
All submissions must be typed. Written applications will not be accepted. The font type of Times New Roman with a font size of 12 is required. Indicate name of chapter; location of the chapter (address, city, state); region of the chapter; and size of the chapter, if applicable (large, medium, small). The maximum total number of pages will be three for the award application. Two pages will be allowed for APMI criteria. One page is allowed for picture(s) only. NOTE: Do not submit more than two pages combined for all eight criteria. All submissions must be submitted in PDF format.
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Asthma Prevention & Management Initiative (APMI) Award Chapter Chapter Size
Graduate Small (1-75 members)
Undergraduate Medium (76-150 members)
Name of Chapter
Region Large (151+ members) City/State
Basileus Email
Phone
1. Program Description ............................................................................................................................. Must identify how it responded overall to the Asthma Prevention and Management Initiative (APMI). Must clearly state why their APMI program was outstanding. 2. Leadership .............................................................................................................................................. Must identify the chapter leaders of the APMI, their roles, and responsibilities in carrying out the program requirements. 3. Program Implementation ..................................................................................................................... Describe how the APMI was implemented. For example, applicants should include the agenda(s) from the program(s), the target audience, the number of members in attendance, the number of people that attended, and the number of chapter members that participated in project planning. The perceived impact of the program(s) should also be articulated and reasons for perception should be provided. 4. Innovation .............................................................................................................................................. This criterion represents the originality and creativity of the chapter in implementing the APMI program. Chapters should provide a rationale for why they think the APMI was innovative. 5. Partnerships ........................................................................................................................................... Identify the organizations that partnered with the chapter on the APMI. The role of the project partners should be articulated, along with the length of the relationship with project partners. 6. Chapter-to-Chapter Collaboration ...................................................................................................... Identify collaborative partnerships with other chapters and provide a description of the roles and responsibilities of each collaborative partnering chapter. 7. Timeliness of Start Up and Duration of the APMI Program ............................................................ The chapter should indicate the exact date when the chapter started the APMI and the status of APMI activities to present. 8. Total Number of Program Participants .............................................................................................. Chapters should indicate how many participants were enrolled in the program from the chapter’s startup date of the APMI. 9. Evaluation .............................................................................................................................................. Describe how the program(s) were evaluated and include copies of the Pre- and Post- Test forms. The evaluation should include, but need not be limited to, submission of the required program Pre- and Post- Test Forms.
5 points 5 points 25 points
10 points 10 points 10 points 10 points 10 points 15 points
Submit all documentation to Lau328@aol.com with a copy to programs@akasouthcentral.org Subject line: Asthma Initiative Award Entries must be received by January 31, 2014. SIGNATURES Basileus Graduate Advisor Undergraduate Chapters Only
Please Print
Signature
Please Print
Signature
FORM 43
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