KIDS &
Careers in Human Sciences: CAREER AWARENESS FOR SCHOOLCHILDREN,
AGES 9-12 AWARD
Application Form
This application form, typed or printed, should be
submitted by June 1 to the
Kappa Omicron Nu Awards Committee
4990 Northwind Dr., Ste. 140, East Lansing, MI 48823-5031
(T)(517) 351-8335; (F)(517) 351-8336
______________________________________________________________________
Chapter Name and Institution
______________________________________________________________________
Address
___________________________________________________(___)______________
Chapter Adviser & Telephone
___________________________________________________________/_____/____
Chapter Officer, Office, and Date
______________________________________________________________________
Title of Program/Activity
______________________________________________________________________
Date(s) and time schedule
Statement of Need:
Career focus:
Statement of Objectives:
Description of the Program/Activity:
Target Population:
Evaluation Feedback:
Signed __________________________________________________________
Chapter President
Signed __________________________________________________________
Chapter Adviser
NOTE: Attach documentation that
describes program.
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