1. Father of the Year
Utah State Head Start Association State Awards
Sponsored by UHSA
Award Requirements
The Father of Year will be On a separate sheet, please type your
recognized at the Utah Head answers to the following question. The
Start Association 2011 - 2012 maximum point value for each question is
indicated in parentheses. Judges will rate
conference which will be held specific, no subjective, information.
November 2, 2012 in Salt Lake 1. (20 points) Volunteering: Describe the ways
City, UT. you volunteered or worked in a Head Start
program.
Award Criteria 2. (20 points) Participation: Describe the Head
Start activities in which you participated with your
Note: Failure to meet any of the child or children.
criteria below will result in 3. (30 points) Personal Statement: Describe in
automatic elimination. 300 words or less (no more than one typewritten,
1. Nominee must be the father of a child or double-spaced page) why you should be selected
children in Head Start during the 2011-2012 as the Utah Head Start Father of the Year. Please
school year. The Program Performance be very specific.
Standards 1306.3(h) definition of a father will
be adhered to. Letters of Reference (30 points)
2. Nominee must model increased
educational involvement and personal Include one letter of reference from some who
responsibility in the lives of his own children knows you in the capacity of your participation in
as well as improved personal development your child's Head Start program.
resulting from his Head Start experience.
3. The local program must be a current
member ofUHSA
.
May 18- 4:00 PM
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 essay information from this application at the UHSA Conference