Beating the Odds Utah State Head Start Association State Awards Sponsored by UHSA Award The Beating the Odds Award will be recognized at the Utah Head Start Association 2011 - 2012 conference which will be held November 2, 2012 in Sandy, UT. This award recognizes a parent who has made tremendous gains despite extreme hardship. Award Criteria Note: Failure to meet any of the criteria below will result in automatic elimination. 1. Applicant must have been a Head Start parent during the school year of 2011 - 2012. 2. The local program must be a current member of UHSA. Requirements 1. (10 points) List any positions you have held (e.g., center committee, policy council) and the number of volunteer hours you have contributed in the 2011-2012 program year. 2. (30 points) Self-sufficiency: Describe how you have overcome obstacles, persevered through hardships, and participated in steps toward self-sufficiency. 3. (30 points) Career advancement: Describe the steps you have taken, or programs you have participated in, that have led toward career advancement. 4. (30 points) Statement of goals: Describe in 300 words or less (no more than one typewritten, double-spaced page) the goals/aspirations you have for your career, education, and future. Applications are due to your local Head Start program by _______________ Winners from each program will be forwarded to the Utah Head Start Association by May 25. ___________________________________ ______________________________ Name of Nominee Nominee's Email ___________________________________ ______________________________ Nominee's Address Nominee's Phone Number ___________________________________ ______________________________ Nominee's City and Zip Code Head Start Grantee Name ___________________________________ _________________________ Signature of Nominee Total # of volunteer hours for Head Start My signature above allows the Utah Head Start Association from September 2011 - May 2012 to disclose information from this application at the UHSA Conference

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Award 3. (30 points) Career advancement: Describe the steps you have taken, or programs you have participated in, that have led toward career advancement. 4. (30 points) Statement of goals: Describe in 300 words or less (no more than one typewritten, double-spaced page) the goals/aspirations you have for your career, education, and future. Nominee's Address Nominee's Phone Number ___________________________________ _________________________ Nominee's City and Zip Code Head Start Grantee Name

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Beating the OddsUtah State Head Start Association State Awards

Sponsored by UHSA

Award

The Beating the Odds Award willbe recognized at the Utah HeadStart Association 2011 - 2012conference which will be heldNovember 2, 2012 in Sandy, UT.This award recognizes a parentwho has made tremendous gainsdespite extreme hardship.

Award Criteria

Note: Failure to meet any of thecriteria below will result inautomatic elimination.

1. Applicant must have been a Head Startparent during the school year of 2011 -2012.2. The local program must be a currentmember ofUHSA.

Requirements

1. (10 points) List any positions you haveheld (e.g., center committee, policy council)and the number of volunteer hours you havecontributed in the 2011-2012 program year.

2. (30 points) Self-sufficiency: Describe howyou have overcome obstacles, perseveredthrough hardships, and participated in stepstoward self-sufficiency.

3. (30 points) Career advancement:Describe the steps you have taken, orprograms you have participated in, that haveled toward career advancement.

4. (30 points) Statement of goals: Describein 300 words or less (no more than onetypewritten, double-spaced page) thegoals/aspirations you have for your career,education, and future.

Applications are due to your local Head Start program by _______________

Winners from each program will be forwarded to the Utah Head Start Association by May 25.

___________________________________ ______________________________Name of Nominee Nominee's Email

___________________________________ ______________________________ Nominee's Address Nominee's Phone Number

___________________________________ ______________________________Nominee's City and Zip Code Head Start Grantee Name

___________________________________ _________________________Signature of Nominee Total # of volunteer hours for Head StartMy signature above allows the Utah Head Start Association from September 2011 - May 2012to disclose information from this application at the UHSA Conference