PPL Awards Nomination Form Test

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    PPLs Achievement Awards recognizes individuals that have demonstrated great strength and resolve inchanging their lives and/or have contributed to their community in a signicant way. To recognize individualsfrom each PPL program in 2011, directors are charged with assembling your program staff to then determineyour programs participant winner using the criteria listed on the nomination form. Please work within yourprogram area to decide on one award winner.

    Nomination Process & Event Overview

    The Nomination Checklist

    Forms DueThursday, March 8.

    As the nominator, you must be committed to act as a liaison between your nominee and PPL, participatingin all of the awards related activities (photos, rehearsal, prole development). By checking the boxes belowyou acknowledge that your programs:

    Awardwinnerunderstandsthattheirstorywillbesharedwiththecommunity.

    Awardwinnerswillhavetheirphototakenforinclusioninawardsprogrammaterials;allawardwinnerswillneedtocompleteaphotoreleaseform,whetherafrmingphoto

    usageordenyingphotousage.

    Awardwinnerhasnotwonanawardinthepast.

    AwardwinnerunderstandstheirnamewillbesharedwithotherPPLstafftoensureeligibilityofthenominee.

    Awardwinnerwouldliketogiveaspeech/spokenword/song.(Optional)

    Nominators are expected to:

    ReturnyournominationformtoSaraGarrybyThursday, March 8.NominationformsmaybehanddeliveredtoSaraatthePPLServiceCenter,emailedtosara.garry@ppl-

    inc.org,orreturnedviatheinter-ofcemailservice.

    AttendanAwardseventoverviewonMarch 15.

    Beavailableforphotoweek,March 26 - March 30 -get your award.

    Helpdevelopparticipantacceptancespeech(note:noteveryonewillgiveaspeech).SpeechesaredueforreviewbyApril 18.

    AttendawalkthroughonApril 24(tentative).

    Your Name:

    Program:

    Director:

    Please make a copy of the checklist for your les.

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    Please check your program:

    LearningCenter(2)

    CTW/ChangePoints

    SSP(2)

    PMD

    Enterprises

    NewFoundations

    EWP

    Schools

    YouthDevelopment

    CabriniPartnership

    Each year PPL recognizes extraordinary participants through the PPL Achievement Awards event. This yearsevent will be held on April 26 at the Hyatt on Nicollet Mall and will recognize one participant fromeach 2011 program. Award recipients are representative of the PPL mission and have made signicantsteps toward their own personal development or towards the well being of others in their family orcommunity.

    Nomination Form

    Please submit your nomination form by Thursday, March 8 to Sara Garry.

    Over

    Nomination forms may be hand delivered to Sara at the PPL Service Center or emailed to [email protected], orreturned via the inter-ofce mail service.

    Award Winner Information

    Your Information

    *Based on programs offered in 2011

    Award Winners Name:Address:

    City & Zip:

    Home Phone: Work or Mobile:

    Nominator:

    PPL Program:

    Desk Phone: Mobile Phone:

    Email:

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    Nomination Form (continued)

    Page 2

    ___________________________________ meets the following award criteria.

    Involvement in a PPL program(s) or PPL resident for no less than six months.

    5.

    Demonstrates resiliency in problem-solving.

    Takes ownership in personal development.

    Positively impacts others (i.e. family and/or community members).

    Strives for economic independence.

    ll-in award winners name

    1.

    2.

    3.

    4.

    If yes, which program(s) or residence?

    Please explain.

    Please provide an example.

    Please provide a brief description.

    Please explain.

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    Please submit your nomination form by Thursday, March 8 to Sara Garry.

    Biography Questionnaire

    ___________________________________ll-in award winners name

    Below are questions to help you develop the brief (no more than 150 words) participant biographies forthe event program. The program will be distributed to guests, letting them learn more about ouraward winners. Write the biography together with your award winner or interview them, write the piece,and then get their approval.

    What brought you to PPL (past experiences, dening moments)? What have been your goals in working with PPL staff? How has PPL helped you make strides towards accomplishing your goals? Or has helped you

    achieve your goals? What is/was your favorite part of the PPL program or service area you worked with?

    What inspires you? What do you like to do in your spare time?

    Guiding Questions

    Nomination forms may be hand delivered to Sara at PPL Service Center,emailed to [email protected], or returned via the inter-ofce mail service.