August, 2011

 

Dear Fellow Lions and Leos,

 

District 33 A has been participating in the Young Ambassador’s Award program during the past few years.  We have been extremely pleased with the response and are quite astonished with the outstanding accomplishments of the applicants.

 

This is not a lot of work for your Club. This year the form has been put on the District 33-A website, you will find it under Young Ambassador. Please download the form, read the requirements, noting the deadlines, and offer this opportunity to your local High School.  The award will be presented to the winning candidate at the Mid-Winter Saturday luncheon.

 

Enclosed is the criterion for this year’s sponsorship

 

1.      No Chairperson required.

2.      No Club judges or judging required.

3.      No composing instructions or filling out applications.

4.      No fee is required.

 

THE ONLY REQUIREMENTS OF YOUR CLUB ARE AS FOLLOWS:

 

1.      Provide the enclosed instructions and application form to the High School in your community.

2.      Present your candidate with a suitable cash award for being chosen as a Lions Young Ambassador of the 21^st Century.

3.      Forward the completed application no later than Thursday, December 1, 2011.

4.      If your candidate is selected as the “Young Ambassador of the 21^st Century” your club will be responsible for providing the meal expense for the candidate and parents/guardians during the Saturday noon luncheon at the Mid-Winter conference on February 11, 2012.

 

BENEFITS FOR YOUTH

 

1.                  Encourages them to seek experience in community involvement and leadership. 

2.                  Increases awareness of community service opportunities and organizations.

3.                  Recognizes the value of their achievements.

 

 

BENEFITS FOR LIONS

 

1.      Furthers the Lions motto, “We Serve” by encouraging young people to pursue community service  involvement.

2.                  Renews Lions member’s enthusiasm and commitment to youth and service, through exposure to

3.                  committed, enthusiastic young leaders.                     

4.                  Strengthens public awareness of Lions and their youth and service initiatives.

5.                  Introduces young people to future service and leadership opportunities.

 

LIONS YOUNG AMBASSADORS OF THE 21^ST CENTURY

 

 

 

Present the school with the applications. Ask if they will choose the finalist.  If not, have the applications submitted to your club with ample time to go over the applications and

choose a winner.

 

The Schools deadline is Friday, November 18, 2011.

 

Send in your club finalists’ application to this committee before Thursday, December 1, 2011 to:

                                                      

                                                Lion Bill Ryan, Chairman

                                                Lions Young Ambassadors Award

                                                45 Federal Hill Road

                                                Auburn, Ma. 01501

 

Your clubs involvement is completed unless your candidate is declared a winner.

 

The judging will proceed as follows:

 

1.      The committee will make copies of the applications and submit them to the Region Chairmen for their vote.

2.      The Region Chairmen will score the applications according to the criteria provided by International.

3.      The scored applications will be sent back to the Committee. Deadline is Saturday, January 7, 2012. The committee will then calculate the scores and the winner will be chosen.

4.      The Committee will then notify the Club whose applicant has won the award.

 

The Young Ambassador of the 21^st Century Award will be presented at the Lions Mid-Winter Conference Saturday noon luncheon on February 11, 2012.  The winner will be presented with a plaque and a cash award.

 

If the winning applicant is from your club you will be responsible for the meals of the student and his/her parent/guardian.   Any one else that wishes to attend the ceremony will be welcome at their expense.

 

 

Sincerely,

 

 

 

 

Lion Bill Ryan, Chairman

           LIONS YOUNG AMBASSADORS OF THE 21^ST CENTURY AWARD PROGRAM

APPLICATION FORM

 

Candidate Information

 

 

First Name                                                                                 Last Name

 

 

Street Address

 

 

City                                                                                           State                                                             Zip Code

Maleo Femaleo

 

(         )

/

/

 

Area Code      Telephone                                E-Mail Address                                                                          Date of Birth

 

Agreement

We certify that all information contained in this application is true and factual.  We also agree that if selected as a candidate for the Young Ambassadors of the 21^st Century Award, he or she will attend and participate in the District 33-A Lions Mid-Winter Awards Luncheon on Saturday, February 11, 2012 and accept the authority and direction of the Lions Club representatives and event organizers.

 

 

Applicant’s Signature                                                                                                                                   Date

 

 

Parent/Guardian Signature                                                                                                                           Date

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

LIONS YOUNG AMBASSADORS OF THE 21^ST CENTURY AWARD PROGRAM

APPLICATION FORM

 

 

COMMUNITY SERVICE (33 Points) Note:  Use additional pages if necessary.

List specific community service activities, projects/events in which you have been involved during the past three (3) years.

Please include documentation of community service involvement, i.e., newspaper articles, awards, etc.

 

Activity/Project/Event                                                People/Institution that benefited from service                          Estimated hours of service

 

In the past three years, how many total hours did you spend on community service activities, projects, and events?

 

Estimated Number of Hours

 

 

Describe how you demonstrated leadership skills and showed initiative for two to three major community service activities, projects or events during the past three (3) years. Use additional pages if necessary.

 

 

 

 

 

 

 

 

 

What specific results were achieved through your community service?  (i.e., number of people served, goals reached, services created, funds raised, etc.)

 

 

 

 

 

 

 

 

 

 

Explain what you have learned and how you have benefited by being involved in community service.

 

 

 

 

 

 

 

 

LIONS YOUNG AMBASSADORS OF THE 21^ST CENTURY AWARD PROGRAM

APPLICATION FORM

 

 

LEADERSHIP ACCOMPLISHMENTS (33 Points)

 

List the leadership roles you have filled in the past three (3) years.

Dates                                                                     Leadership Role                                                       Organization/Group     

 

 

Explain what your leadership has accomplished for yourself and for the organizations/groups you helped lead.

 

 

LIONS YOUNG AMBASSADORS OF THE 21^ST CENTURY AWARD PROGRAM

APPLICATION FORM

 

 

SCHOLASTIC ACHIEVEMENTS (33 Points)

Please attach a copy of a school transcript that reflects courses completed and grades achieved over the past three (3) years.

 

 

List any honors, awards or scholarships you have received as a result of your scholastic achievement.

 

Date                                                                                   Honor, Award or Scholarship                                         Honor/Award/Scholarship Criteria

 

 

 

INSTRUCTIONS FOR LIONS CLUB After selecting your Young Ambassadors of the 21st Century Award candidate, have your club President fill in the information requested below and forward the completed application form before December 1, 2011, to the District Ambassadors Award Committee.   Club President                                                                                                    Name of Club       Address       Telephone                                                            Fax                                        E-Mail Address   Mail your application to:    Lion Bill Ryan, Chairman                                        Lions Young Ambassadors Award                                                                                        45 Federal Hill Road                                        Auburn, Ma. 01501 DEADLINE 12/1/11 Young Ambassador Form 2011-2012