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NC SHAPE Advocacy Award Nomination Form

Background: Recognizes persons or organizations for affecting educational policy and legislation through effective advocacy at the local, state and/or national levels. Recipients do not have to be members of NC SHAPE.

Qualifications for the Advocacy Award:

  • Candidates shall have an outstanding record of advocacy affecting educational policy and legislation in one or more of NC SHAPE’s allied fields.
  • Candidates cannot be current members of the NC SHAPE board of directors.

Nomination Deadline: April 15 of each Year

Nominee Responsibilities: The nominee is responsible for preparing a 1-page curriculum vitae and a 250-word written statement highlighting their involvement in advocacy in one of NC SHAPE’s allied fields.

  1. Curriculum Vita: Prepare a 1-page curriculum vita highlighting your involvement in advocacy in one of NC SHAPE’s allied fields.

  2. Written Statement: Compose a 250-word statement summarizing your involvement in advocacy in one or more of NC SHAPE’s allied fields.

  3. Complete an Application and Upload the Application Documents: Once the Recognition Committee chair receives the nomination, an email will be sent to the nominee with a link to the application form, where the 1-page vita and written statement can be uploaded.

Application Deadline: May 15 of each year.


Nominator's Contact Information




Nominee's Information






Has the individual agreed to be nominated?
 Yes, they have
 No, they have not
 I have not informed them of the nomination

Is the nominee a member of NC SHAPE?
 Yes    No    I don't know