1 UPDATED GUIDELINES – READ CAREFULLY! SPIRIT OF MIDWAY AWARD 2016-2017 The Spirit of Midway Award is a partnership created by the MISD Education Foundation and the Midway High School PTA to promote and recognize the achievement, initiative and community service of MHS students. It is voluntary, noncompetitive and open to all current MHS students. The award culminates with a recognition event each spring. Students must submit an application between January 23 and 27, 2017 to be considered for the Spirit of Midway Award. Early applications will not be accepted. To earn the award, a student must qualify in three areas: Grades – Earn 80 or above in each class for the fall semester (Multiplier does apply) Campus Involvement – Participate in at least 2 extracurricular MHS student groups Community Service – Perform at least 20 hours of voluntary community service on at least two different qualifying projects from Jan. 1, 2016 to Dec. 31, 2016* *Note: Credit for community service and campus involvement for incoming freshmen and new students to MHS begins June 4, 2016. The following steps must be completed in order to qualify: 1. Complete Application Form. 2. Attach copy of fall semester report card OR copy of semester grades from HAC. 3. Complete MHS Campus Involvement Form with signatures. 4. Complete Community Service Forms (Separate Community Service Form for each activity must be included even if separate documentation letter is attached). 5. Turn in completed packet* to Spirit of Midway box at Counselor’s Office between January 23 and 27, 2017 during regular Counselor’s office hours (8-4:30). *CHECK YOUR APPLICATION CAREFULLY! Any information left blank or incomplete or submitted after the specified due date will invalidate your application and no award will be given. You cannot be given a chance to resubmit after the application due date. Spirit of Midway activities might help you qualify for the Congressional Award for youth involvement. For more information, visit http://www.congressionalaward.org/ 2 Spirit of Midway Application 2016-2017 Name: ___________________________________________________________________Grade: _____ (Submit name, as it should appear in PRINT for publication) Student ID:________________________________ Student e-mail:____________________________ Address: ______________________________________________________________________________ Phone: ________________________________________________________________________________ Have you received this award before? No_____ Yes_____ If yes, what year(s)? ____________ Seniors only: Are you eligible to receive the 4 year Spirit of Midway designation? __________ ____ Check here if you have registered at the Congressional Award website (www.congressionalaward.org). If so, please print out proof of completed registration and attach to this form. Your commitment will be recognized on our web page. Please initial to show you have done the following: ____ Attach a copy of your fall semester report card or Home Access Center report showing fall semester grades. Providing the report is your responsibility. ____ Attach a completed copy of the MHS Campus Involvement Form with signatures. ____ Attach completed copies of the Community Service Forms. A separate Community Service Form for each activity must be included even if separate documentation letter is attached*. Signed proof that you participated in at least TWO DIFFERENT ACTIVITIES is required. ____ Turn in completed packet** to the Spirit of Midway box located in the Counselor’s office between January 23-27, 2017 by 4:30 p.m. that Friday. Honor Code: I certify that I have met the requirements for the Spirit of Midway Award & give permission for my credentials to be validated. Student Signature: ________________________________________Date: _____________ Parent Signature __________________________________________Date:_____________ Students qualifying for the award will be listed on the Spirit of Midway Banner. It is your responsibility to: Verify the spelling of your name, using the lists provided at the announcement party. Retrieve a Spirit of Midway recognition event invitation available on same day awards are posted. *Additional hours may be submitted to count toward the award in the event that other submitted hours do not qualify. You are encouraged to contact Lisa Clevenger, PTA Spirit of Midway chair, at [email protected] to verify eligibility of service. **CHECK YOUR APPLICATION CAREFULLY! Any information left blank or incomplete or submitted after the specified due date will invalidate your application and no award will be given. You cannot be given a chance to resubmit after the application due date. 3 Spirit of Midway 2016-2017 Guidelines for MHS Campus Involvement Joining with other students who share like interests encourages personal growth, strengthens academic experiences and fosters skills in teamwork and leadership. Typically, any MHS student organization which requires some commitment outside the regular school day will meet the involvement requirement. The appropriate Midway teacher, sponsor, coach or staff member will validate the participation by signature. Please remember that you may not apply service hours that benefit your campus involvement group or club to the community service portion of this application. Examples of qualifying MHS campus groups: AP English Club Art Club Astronomy Club Athletic Teams (football, golf, etc.) Band Blue Crew Panther Patrol Business Professionals of America Cheerleaders Choir Class Officers Color Guard Computer Club Courtside Cuties/Crew Debate Team *This is not a comprehensive list Diamond Darlings Drama Fellowship of Christian Students Future Farmers of America FCCLA French Club German Club Goal Tenders Diversified Cooperative Program Journalism Club Link Crew MCJROTC Midway Special Athletes Mock Trial Team National Honor Society Newspaper Staff Orchestra/Strings Peer Assistance Leadership Panther Players Panther Patrol Robotics Club Soccer Sweethearts Spanish Club Student Council Thespians United Nations in Today’s Youth Culture Club UIL Academic Competitions Yearbook Staff 4 SPIRIT OF MIDWAY AWARD 2016-2017 MHS CAMPUS INVOLVEMENT FORM Name: _____________________________________________________ Grade: ___________ The Spirit of Midway Award requires participation in at least two student groups at Midway High School. Incoming freshmen and new students to MHS will begin June 4, 2016. Most student groups that require participation outside of the regular school day should qualify. The definition of “participation” may vary greatly. As in life, the more you “jump in” and give of yourself, the richer the experience! Student Group #1: _________________________________________________________ How did you contribute to the organization? ___________________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________ I certify that the contributions as stated above were completed: Signature of sponsor: ______________________________________ Date: ________________ Printed name of sponsor/validator: _______________________________________________ Student Group #2: ________________________________________________________ How did you contribute to the organization? ___________________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________ I certify that the contributions as stated above were completed: Signature of sponsor: ______________________________________ Date: ________________ Printed name of sponsor/validator: __________________________________________________ 5 Spirit of Midway 2016-2017 Guidelines for Acceptable Community Service *******NEW in 2016******* MISD Concession Stand service will not count toward Spirit of Midway volunteer hours. 20 hours of community service required this year to qualify for award. Service hours must be performed without pay, compensation or reward and with adult supervision. Mandatory or court-ordered community service does not apply. Strive for activities that benefit the community at large and not only your personal, school or church family life. You may count hours that you earn through your church and school, but please make sure they align themselves with the SoM guidelines. Participation in an event does not constitute community service; you must work for or at the event in some capacity. Please remember that you may not apply service hours that benefit your campus involvement group or club to the community service portion of this application. Examples of acceptable community service organizations (not a comprehensive list): The Advocacy Center American Cancer Society American Heart Association American Red Cross Art Center of Waco Big Brothers Big Sisters Boy Scouts of America (excluding Flags over Bear Country) Boy & Girls Clubs Cameron Park Zoo Camp Fire Caritas Church (or worship center) Activities City of Waco Parks and Recreation Compassion Ministries CDC Housing Projects Dr Pepper Museum Elementary School Carnivals Family Abuse Center Feast of Sharing – HEB Feast for Families Food For Families Friends for Life Girl Scouts of America** Goodwill Habitat for Humanity Head Start Hillcrest Hospital Volunteer Historic Waco Foundation Humane Society Keep Waco Beautiful MCYC MHMR Mayborn Museum Meals on Wheels Mission Waco Multiple Sclerosis Run** Providence Hospital Volunteer Public Library Aide Race for the Cure** Relay for Life** Salvation Army Shepherd’s Heart Special Olympics** Talitha Koum Institute Toys for Tots Distribution United Way Very Special Fishing Event Waco Civic Theater** Waco Family Health Center Jr. Volunteer Waco Wetlands Waco Symphony** YMCA Youth Commission – (Community Projects only) IT IS YOUR RESPONSIBILITY TO MAKE SURE YOUR PROJECT QUALIFIES FOR SERVICE HOURS. If your volunteer service is not listed above, contact the Spirit of Midway chair, Lisa Clevenger, at [email protected] to be certain it is eligible. Additional hours may be submitted to count toward the award in the event that other submitted hours do not qualify. You are encouraged to contact Lisa Clevenger to verify eligibility of service. 6 SPIRIT OF MIDWAY AWARD 2016-2017 COMMUNITY SERVICE FORM Name: ______________________________________________________ Grade: ___________ The Spirit of Midway Award requires at least 20 hours of community service per calendar year. Sharing your time and talents for the benefit of others is an important component of the award. Service activities must be performed without pay or compensation, under adult supervision, for an approved non-profit charitable organization benefitting the community at large. Mandatory or court-ordered community service will not apply. AT LEAST TWO DIFFERENT PROJECTS MUST BE COMPLETED FOR THE 20-HOUR TOTAL. Hours must be completed between January 1, 2016 and December 31, 2016. Community service for incoming freshmen and new students to MHS begins June 4, 2016. The form below must be completed even if you attach separate documentation. Name of organization and location of service: ______________________________________________________________________________ ______________________________________________________________________________ Describe your activities: ______________________________________________________________________________ ______________________________________________________________________________ Describe how the community benefited: ______________________________________________________________________________ ______________________________________________________________________________ Date(s) of service: _____________________________________________________________________________ Make copies of this form as needed for community service hour verification. This page MUST be completed even if you attach a signed volunteer form from an organization. Use one form per activity. Please do not group different service activities together. Additional hours may be submitted for consideration in the event that ineligible hours are submitted. Please contact the Spirit of Midway PTA chairperson to verify eligibility of organizations not listed in this application. ************************************************************************** (To be completed by Supervisor only): Adult Supervisor Information Name: (printed) _____________________________________________________________ Position: _____________________________________________________________________ Phone: _________________________Email: _______________________________________ I certify that the hours and activities as stated were completed. Supervisor Signature: ________________________ Date: _______________ Total hours: _________ Note: This signature may be waived only IF a letter of documentation is submitted by the public charity organization to document hours of volunteer activity. 7 SPIRIT OF MIDWAY AWARD 2016-2017 COMMUNITY SERVICE FORM Name: ______________________________________________________ Grade: ___________ The Spirit of Midway Award requires at least 20 hours of community service per calendar year. Sharing your time and talents for the benefit of others is an important component of the award. Service activities must be performed without pay or compensation, under adult supervision, for an approved non-profit charitable organization benefitting the community at large. Mandatory or court-ordered community service will not apply. AT LEAST TWO DIFFERENT PROJECTS MUST BE COMPLETED FOR THE 20-HOUR TOTAL. Hours must be completed between January 1, 2016 and December 31, 2016. Community service for incoming freshmen and new students to MHS begins June 4, 2016. The form below must be completed even if you attach separate documentation. Name of organization and location of service: ______________________________________________________________________________ ______________________________________________________________________________ Describe your activities: ______________________________________________________________________________ ______________________________________________________________________________ Describe how the community benefited: ______________________________________________________________________________ ______________________________________________________________________________ Date(s) of service: _____________________________________________________________________________ Make copies of this form as needed for community service hour verification. This page MUST be completed even if you attach a signed volunteer form from an organization. Use one form per activity. Please do not group different service activities together. Additional hours may be submitted for consideration in the event that ineligible hours are submitted. Please contact the Spirit of Midway PTA chairperson to verify eligibility of organizations not listed in this application. ************************************************************************** (To be completed by Supervisor only): Adult Supervisor Information Name: (printed) _____________________________________________________________ Position: _____________________________________________________________________ Phone: _________________________Email: _______________________________________ I certify that the hours and activities as stated were completed. Supervisor Signature: ________________________ Date: _______________ Total hours: _________ Note: This signature may be waived only IF a letter of documentation is submitted by the public charity organization to document hours of volunteer activity.
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