The Deadline to Apply for the 2024 Governor's Award is now
Friday, March 21 at Midnight!

***IF YOU ARE EXPERIENCING ISSUES UPLOADING YOUR DATA - PLEASE EMAIL IT DIRECTLY TO info@mapems.org**

*This form does not save content until you click submit. Please gather all of your content and enter it all at one time.*

ALL APPLICATIONS DUE BY 5:00 PM ON FRIDAY, MARCH 15, 2024

* Indicates required question

1. Email*

2. School / District Representative*

3. School District

4. School Name (write N/A if applying for district level award)*

5. School Address*

6. City*

7. Zip Code*

8. Mobile Phone

9. MAPE Member's Name (Organization or Individual):*

10. Email

School / Project Name

11. Brief Project Description* - Give us your project's elevator pitch in 3-5 sentences.

12. Select your Partnership Level:* - Mark only one oval.

• Multi-level School & Partner(s)
• Elementary School & Partner(s)
• Middle School/Jr. High & Partner(s)
• High School & Partner(s)
• School District with Community-Wide Partnership
• University Partnership Award

13. School Enrollment*

14. Number of students impacted by this project*

15. Community Partner(s): Please list all partners separated by a comma. (Partner 1, Partner 2, Partner 3, etc.) If necessary you may submit additional names to info@mapems.org.*

16. Number of volunteers in partnership:*

17. Number of years partnership has been in existence:*

18. Describe your school or school district needs and community partnership goal(s) that were set to meet the need(s).*

19. Tell us in more detail about your project. Write a narrative summary of your partnership project and its impact.*

20. If you would like to upload any supporting documents, please upload them here.

21. The 2024 Governor's Awards for Outstanding School - Community Partnerships will be held VIRTUALLY on Tuesday, May 20, 2024. Please see www.mapems.org for streaming details. Applicants may email info@mapems.org after the awards to receive an electronic copy of judges’ rating sheets with comments concerning their scores. By submitting this form, you certify that all statements in the application materials are true, complete and correct to the best of your knowledge. You understand that if you fail to comply with all instructions, the application will be disqualified.* - Mark only one oval.

• I certify that all statements in this application and materials are true, complete, and
  accurate to the best of my knowledge.