1. Student/Staff Leadership Awards Application
Recognizing leadership initiatives of Dalton State College students during the 2010-11 academic year
All packets for individual students or staff must:
• Include awards application.
• Be completed and returned by 5 pm on Tuesday, March 15, 2011, to the Division of Student
Activities Office in Pope Student Center Upper Level, room 107.
If you have any questions or need additional information, please contact Jami Hall, Director of
Student Activities, at 706-272-2505 or jhall@daltonstate.edu.
Name of Student/Staff Member Leader ________________________________
Name of Student/ Staff Award Nomination (Check ONE):
The Spence Higgins Hall of Leaders Award for Excellence in Service & Leadership
Catch a Rising Star Award
Volunteer of the Year Award
Unsung Hero Award - Student
Unsung Hero Award - Faculty/Staff
Student Employee of the Year
Advisor of the Year
Letter of Nomination:
Attach letter if additional space is needed.
Name (Print) of Recommender: ____________________________________
Signature: ________________________________ Date: _______________

2. Student Organization Leadership Awards Application
Recognizing leadership initiatives of Dalton State College students during the 2010-11 academic year
Only the information submitted in this Student Leadership Awards Packet and letters of support
for other organizations, will be used in consideration of leadership recognitions and awards to
be presented at the annual Student Leadership Banquet on Friday, April 15, 2011.
Application Packet Checklist
All student organization packets must:
Include a CD or scrapbook with photos (40 maximum) showing activities, events, members,
and programs hosted/participated in by your organization.
Include awards application.
Recommendation letters from individuals who support organization objectives.
Be completed and returned by 5 pm on Tuesday, March 15, 2011, to the Division of Student
Activities Office in Pope Student Center Upper Level, room 107.
If you have any questions or need additional information, please contact Jami Hall, Director of
Student Activities, at 706-272-2505 or jhall@daltonstate.edu.
Name of Organizational Award Nomination (Check ONE):
Student Organization of the Year
Outstanding Campus Event
Outstanding Community Service Project
Outstanding Charitable Fundraiser
Note: Only Student Organization of the Year nominations require three program
initiatives including a community service, educational, and social program. All other
nominations (ie-Outstanding Campus Event, Outstanding Community Service Project,
Outstanding Charitable Fundraiser) will submit one specific program, project, or event.
Certificate of Information
We certify to the best of our knowledge that the information contained within this document is
true & accurate for the Academic Year 2010‐11, and do hereby submit this packet for
consideration of leadership awards and recognitions at Dalton State College.
ORGANIZATION ______________________________________________________________
PRESIDENT" ______________________" " _____________________" ___________
" " " " printed name! ! ! ! signature!! ! date
ADVISOR" " ______________________" " _____________________" ___________
" " " " printed name! ! ! ! signature!! ! date

3. PROGRAMMING INITIATIVES
Description & purpose/goal of program (1)
____________________________________________________________________________________
____________________________________________________________________________________
____________________________________________________________________________________
________________________________________________________________________________
Agency benefited by program _______________________ Date of program ____________________
Event planning
1.number of members involved in event planning _________ & hours donated __________
2.advertising methods used ____________________________________________________________
___________________________________________________________________________________
Event"attendance"
1.event open to:" ␣ organization ␣ members only " ␣ anyone" ␣ other" __________________
2. number of members in attendance ___________ & total event attendees __________
Amount and description of items collected/donated
____________________________________________________________________________________
__________________________________________________________________________________
Description & purpose/goal of program (2)
____________________________________________________________________________________
____________________________________________________________________________________
____________________________________________________________________________________
________________________________________________________________________________
Agency benefited by program _______________________ Date of program ____________________
Event planning
1.number of members involved in event planning _________ & hours donated __________
2.advertising methods used ____________________________________________________________
___________________________________________________________________________________
Event"attendance"
1.event open to:" ␣ organization ␣ members only " ␣ anyone" ␣ other" __________________
2. number of members in attendance ___________ & total event attendees __________
Amount and description of items collected/donated
____________________________________________________________________________________
__________________________________________________________________________________
Description & purpose/goal of program (3)
____________________________________________________________________________________
____________________________________________________________________________________
____________________________________________________________________________________
________________________________________________________________________________
Agency benefited by program _______________________ Date of program ____________________
Event planning
1.number of members involved in event planning _________ & hours donated __________
2.advertising methods used ____________________________________________________________
___________________________________________________________________________________
Event"attendance"
1.event open to:" ␣ organization ␣ members only " ␣ anyone" ␣ other" __________________
2. number of members in attendance ___________ & total event attendees __________
Amount and description of items collected/donated
____________________________________________________________________________________
__________________________________________________________________________________