Purpose and Qualifications for Award:One of the hallmarks of the FCL program is to assist members of a community in taking control of their lives and changing the world for the better. The application of this goal is demonstrated when an FCL trained individual (or team of individuals) assists a community group in actually bringing about the change. In order for that to happen, there must be education and leadership. But the award is given to someone who has the FCL training and has provided education and leadership to a community group beyond the membership of FCE. The result is the empowerment of that community group and the actions taken by it. The nomination from must clearly indicate the community action as well as the involvement of the nominee(s).

Eligibility:This award is sponsored by the National Association for Family and Community Education and was developed with W. K. Kellogg Foundation funds. Any individual/team who has completed 30 hours of Family Community Leadership training is eligible except National Board members who are not eligible while serving on the National Board and one year following their service. Individuals/trams nominated in previous years are eligible to be nominated again. Nominated individual(s) must have the completed/worked on their actions within the past three years.

Procedure: There may be one nomination per state. The individual or team is to be nominated through a state FCE organization, though they need not be members of FCE to receive the award. Please complete this form and enclose the supplemental information. Submit copies of application to National Board and mail original with photo to National FCE Headquarters.

State_______________ Type of Nomination
Individual____ Team____

Nominee(s) Name, Address, Phone, Fax, and Email:

_____________________________________________________________________________

_____________________________________________________________________________

Where and when did nominee(s) receive FCL training?

_____________________________________________________________________________

The nomination form must include the following information, identified by section

Checklist of Enclosures:

Success in Community Action. Describe:

____What change did nominee set out to make? Was he/she working with a community group or alone?

____If working with a community group explain the group's role.

____What did nominee do? What did the community group (if any) do?

____Did the nominee provide education and leadership in working toward this change? How?

____How many people were reached or changed because of the nominee's work?

____What was the final outcome of the proposed change?

____How did the nominee use their FCL training in effecting this change?

____What was the nominee's specific role in the project?

____100 Word Summary

Enclose:

____Letters from those who have been empowered by the nominee (related to this action).

____Letters from those who can discuss how the community benefited from nominees' contribution.

____Letter of support from State FCE Board (where such exists).

____Photo of nominee(s) (head and shoulders photo) for news article and FCE TODAY.

Recommended, but not required:

____Other items deemed important to the selection of the nominee(s) such as newspaper
      clippings, actual items produced or materials developed.

Nomination submitted by: Signature, Address, Phone & Email:

State FCE President

Name______________________

Address____________________

City, State__________________

Zip Code___________________

Phone_____________________

Deadline: Postmarked by April 15
Submit to: National FCE Board members and Original Copy
with Photo to National FCE Headquarters