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| Award Submission Information |
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| I am submitting this application on behalf of: |
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Name of Institution, System, Regional or State Association
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| Descriptive Title of Initiative |
Include a brief title that can serve as a quick reference, particularly if multiple entries are submitted. |
| Has the initiative been submitted previously? |
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If you select "yes" to the above question, what year was the initiative previously submitted?
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What has changed to make the initiative more effective? |
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Objective/Purpose of Initiative |
A brief statement on the objective or purpose of the initiative. |
| Executive Summary |
All or part of this summary will be published after the winner is announced at the annual conference. |
| What is your institution, state, or regional association's fiscal year? |
Enter month/year to month/year
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Initiative Implementation Date |
Initiatives must have been implemented and evaluated within the last two years to be considered. Ongoing intiatives will be considered, if a full cycle of activity that allows for thorough evaluation has been completed.
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Initiative Length |
Approximate length of time in days, weeks, or months needed to complete the initiative from implementation to evaluation. |
Number of People Involved in Initiative Development and/or Implementation |
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| Cost of Initiative |
An estimate of all expenses associated with the development and implementation of the initiative including all direct costs underwritten by others. |
Target Population |
A brief description of the target population and an estimate of the population number to be served.
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| People Reached |
Actual number of people reached by the initiative. |
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| Contact Person |
| Please identify the individual who can best answer questions about the initiative. This person need not be an officer at the institution, system, or association. The name of the contact person will be provided when the initiative description is published on NASFAA's website. |
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| Name of Institutional Member, Affiliate Member, State, or Regional President |
| This should be the name of the person who is submitting this application. If this person is the same as the Contact Person, above, please include SAME in each field. |
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| Certification Statement |
By submission of this nomination, I hereby certify that, to the best of my knowledge, the statements contained herein are accurate. I authorize NASFAA to publicize all or any portion of the information regarding this nomination for the purpose of describing the reasons that this nominee is deserving of this award. |
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