Call for Nominations
HERO
be a
Riverside
Charitable
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The HERO Awards ceremony, first held in 2016, is an evening of celebration to gather and
recognize those who have made a positive impact by addressing and preventing bullying —
it’s
building awareness
of bullying
prevention,
inspiring and empowering others to
ABIwhether
Program
Coordinator
- FT Position
to replace
LMFT position
take positive
action, or advocating
those who
need support.
Responsible
for Anti-Bullying
Program,
Classes,
School Liaison, Yearly Conference,
be a forParenting
HERO
Quarterly Newsletter, Lunch and Learn Series, Coordinating Digital Marketing, Counseling
experience
spanish
speaking
The 2017and
HERO
Awards
will bepreferred.
held on Saturday, August 26, 2017 at our Annual Fundraising
Dinner. Invitations and notifications
R i v e r s i d ewill
M e be
d i c asent
l C l ito
n i cthe
F o uwinners
n d a t i o n and their families of the
Program
Outline
recipients
that will be honored. You will also receive notification if your nominee is selected
Yearly
Conference
Certifict e of Recogni tion to
as aAB
winner
of this award.
Assembly for students
Parent/Teacher Classes - PTA/RCOE involvement
We are awarding HERO Awards in several different categories to residents who live or work in
Quarterly awards for students, community leaders and businesses
the Inland Southern California Area.
Shirts for quarterly winners
Youher
candedication
submit nominations
the following
categories:
for
to being afor
HERO
and promoting
Posters, informative flyers
positive leadership among her friends.
Banners
HERO Student of the Year, HERO Teacher/Staff and HERO Administrator of the Year
Newsletters
Rubber bracelets
Please
fillincluding
outeaSignatur
separate
form
for each
nomination
submit
Facebook Campaign
ABI eand
School
to build
a
HEROand
community
Signatur
Signatur
e
Signatur
a ite via email to
Sally J ohnson
School Principal
[email protected] by May
30th, 2017.
Pilot School
Please call Denise Chavez, ABI Program Coordinator at 951-321-6533 with any questions.
RMC Executi ve Director
Tomas Rivera Elementary
Principal: Wilson Cuellar
am nominating
_______________________________________________ for:
20440 1.
RedI Poppy
Lane, Riverside
669 Students, 45% female, 55% male, K-6
(Please check one)
Possible Local Assembly Speakers
Joe MunozThe
- 19HERO
yearsStudent
old - Yauts.org,
La Sierra
of the Year
Awardgraduating senior
Govany Lopez - 31 year old - Learning public speaking to tell his story ,
Ian Taylor - LA Area
i am a - Speaks to Childrens’ groups about bullying experience.
HERO
The HERO Teacher/Staff of the Year Award
Riverside Medical Clinic Foundation
The HERO Administrator of the Year Award
This individual has taken action to prevent and/or change an action or behavior that
front
back
physically or emotionally hurts, harms, or humiliates someone. This person has demonstrated
outstanding act(s) of being helpful. This individual has looked beyond the differences of others
and celebrated what makes everyone unique. He or She has contributed to making an inclusive
environment and has done an outstanding act to help others feel like they belong and know
that they are not alone.
2. Why are you nominating this individual for this award?
3. Please share why this person is deserving of this award above other HEROES at your school
or in our community.
Nominee (person being nominated) Contact Information:
Name:
Address:
City:
School and District:
Parents Name (for student nomination):
Email Address:
Phone Number:
Nominator (person nominating) Contact Information:
Name:
Address:
City:
School/District (if applicable):
Email Address:
Phone Number:
Please make sure we have contact information during summer months for notification and
celebration information.
The Anti-Bullying Institute and Riverside Medical Clinic Charitable Foundation has my
permission to post my nomination on their website and/or social media, with my name and
school site information included.
Yes
Yes, without last name included
No
Would you like to be added to our Email list and receive Anti-Bullying information?
Yes, sign me up!
Email Address:
The Anti-Bullying Institute is a program of the
Riverside Medical Clinic Charitable Foundation is a 501(c) (3) nonprofit organization and all of our programs are funded entirely by donations.
All donations are tax-deductible to the extent allowed by law. (Federal Tax ID #30-0796418).
Riverside Medical Clinic Charitable Foundation does not and shall not discriminate on the basis of any applicable protected
classification including, but not limited to, race, color, religion (creed), gender, gender expression, age, national origin
(ancestry), disability, marital status, sexual orientation, or military status in any of its activities or operations. These activities
and operations include, but are not limited to, hiring and firing of staff, selection of volunteers and vendors, advertising for
available scholarships, selection of scholarship recipients, and the provision of related services. Riverside Medical Clinic
Charitable Foundation is committed to providing an inclusive and welcoming environment for all members of its staff,
volunteers, vendors, applicants, and scholarship recipients.
04.04.17