MC Scholarship Nomination Form

Scholarship Online Nomination Form

APPLICANT DETAIL

* Indicates required field

Name *

First

Last

Address including Post Code and Country *

Line 1

Line 2

City

State

Zip Code

Country

Email *

Nominee Mobile Number *

Golden Key ID number: (GKID) *

AWARD CATEGORY

Category: *

Education Sport Community Project

NOMINEE INFORMATION

Please provide details about the your contributions to humanitarian issues or projects
Please keep to the word limit for each question
We welcome attached supporting documentation, but a maximum of 2 documents per nomination.

Humanitarian organisation/s that Nominee has been associated with: *

Position/s in Organisation/s: *

1. Outline your work supporting children / youth / families, including major highlights and contributions (250 words max). *

2. Why do you think your work constitutes an exceptional contribution to children / youth / families in need or in poverty? How have you gone above and beyond? Why do you deserve to receive this Award? (250 words max.) *

3. Any other information not previously mentioned? This might include notes about supporting documentation, or details of other people who might support this nomination, if you wish to include them. (250 words max.) *

NOMINEE STATEMENT

4. The nominee must provide a statement of no more than 300 words, outlining: i) What they feel they can contribute to the project/s in Haiti iii) What they hope they will receive from this experience. *

SUBMISSION OF SUPPORTING DOCUMENTS

We can accept up to two supporting documents:
1 page maximum each.
This may include written information from
colleagues, clients etc, as well as photos or examples of the nominee’s work.
Please identify your pages clearly with your contact details.
Send the 2 pages to:
[email protected]

FOLLOW-UP COMMITMENT

5. After joining the Frontier Projects journey in 2017, the Scholarship recipient/s commit to create a reflection project back to Golden Key - and Frontier Projects- that recaps your trip in a creative way of your own choosing.

As a final option, you will be invited to continue your relationship with any of the Frontier Projects Haiti communities you worked with.

Nominee eSignature *

Submit

Golden Key International Honour Society in association with Frontier Projects Inc.Michael Crossland Humanitarian Scholarship AwardOnline Nomination Form

Scholarship Online Nomination Form

Golden Key International Honour Society in association with Frontier Projects Inc.
Michael Crossland Humanitarian Scholarship Award
Online Nomination Form