Father of the YearUtah State Head Start Association State Awards

Sponsored by UHSA

Award

The Father of Year will berecognized at the Utah HeadStart Association 2011 - 2012conference which will be heldNovember 2, 2012 in Salt LakeCity, UT.Award Criteria

Note: Failure to meet any of thecriteria below will result inautomatic elimination.1. Nominee must be the father of a child orchildren in Head Start during the 2011-2012school year. The Program PerformanceStandards 1306.3(h) definition of a father willbe adhered to.2. Nominee must model increasededucational involvement and personalresponsibility in the lives of his own childrenas well as improved personal developmentresulting from his Head Start experience.3. The local program must be a currentmember ofUHSA.

Requirements

On a separate sheet, please type youranswers to the following question. Themaximum point value for each question isindicated in parentheses. Judges will ratespecific, no subjective, information.1. (20 points) Volunteering: Describe the waysyou volunteered or worked in a Head Startprogram.2. (20 points) Participation: Describe the HeadStart activities in which you participated with yourchild or children.3. (30 points) Personal Statement: Describe in300 words or less (no more than one typewritten,double-spaced page) why you should be selectedas the Utah Head Start Father of the Year. Pleasebe very specific.

Letters of Reference (30 points)

Include one letter of reference from some whoknows you in the capacity of your participation inyour child's Head Start program.

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 essay information from this application at the UHSA Conference