Parent

Parent. The State Board of Education, in accordance with Section 37-3-73, of the Mississippi Code of 1972, as amended, has established an awards program to reward parents for becoming involved in school improvement efforts. A process has been established which will designate a Parent of the Year in every school district in the state, and will designate one Parent of the Year statewide. Nomination Form RETURN TO: Parent of the Year Program Public Relations State Department of Education P. O. Box 771 Jackson, MS 39205 (Please type) Nominee Name _____________________________________________________________ School District _____________________________________________________________ County ____________________________________________________________________ Congressional District ________________________________________________________ Home Address ______________________________________________________________ __________________________________________________________________________ Social Security Number _____________________________________ Age ________ Marital status__________________ Number of children _______________ Children's names, ages, occupations (if students, list name of school and grade level) __________________________________________________________________________ __________________________________________________________________________ If married, spouse's name and occupation __________________________________________________________________________ __________________________________________________________________________ Superintendent's Signature ____________________________________________________ Date _______________________________ Nominee's School Improvement Efforts Describe the school improvement efforts of the Parent of the Year nominee in his/her school district. Include awards and other special recognitions received. Describe involvement in service-oriented activities, such as volunteer work, etc. Be specific describing projects. (Maximum length: two double spaced pages) Letters of Support – (limit of three letters) please attach to application. Include three letters of support from among the following: superintendent, principal, colleague, PTA president, or civic leader. Please note: 1. Please submit original and four copies. 2. Please provide all information requested in the application form. Do not change or add to the application in any way. 3. Limit your answers to the number of pages requested. In order to provide all applicants with an equal opportunity, only the number of pages requested will be accepted. Any additional pages and/or materials cannot be presented to the Selection Committee. 4. Each application must include one photograph. It is not necessary, however, to submit five original pictures. Simply attach one picture to the original application and photocopy the other four. However, if selected Parent of the Year, additional pictures may be requested for publicity purposes. 5. The application package must be submitted