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NYS CLSA HONOR COUNCIL
The NYS CLSA Honor Council Award gives special recognition to those schools that have designed exemplary
programs for their high school and or middle school Student Councils. "Exemplary" is defined as participating in NYS CLSA programs and sponsoring activities in each of the areas listed below.
Any school that meets the criteria below will be named a NYS CLSA Honor Council School.
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Any school which does not have membership in NYS CLSA & an application which does not contain all of the above will be rejected.
Eligible Schools: Must Support 2023 State Charity financially to be eligible to be an Honor Council. Minimum donation $100
Must be in attendance at NYS CLSA State Conference
Donation Amount
Your answer
Name
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Your answer
School
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Your answer
School Address
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Your answer
NYS CLSA District
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1
2
3
4
5
6
7
8
9
10
11
12
# of students in your school
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Your answer
Is your school a previous recipient of the Honor Council Award?
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Yes
No
Number of Hours involved in community service
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Your answer
Number of years that you have been a member of the NYS CLSA Honor Council (including 2023)
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Your answer
Describe involvement in leadership development. Include attendance at one of the following: NYS CLSA Leadership Conference -National Leadership Camps- NASC National Conference or LEAD Conferences-District Conference
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Your answer
Describe involvement in a spirit activity.
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Your answer
Describe involvement in a school service activity.
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Your answer
Describe involvement in a community service activity related to the State Charity
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Your answer
CHECKS should be mailed to: Mrs. Kim Goldhirsch 65 West Market Street Red Hook, NY 12571
AWARDS: First 3 years – School receives a certificate of recognition 4th year – School receives a plaque. Every year thereafter – A year plate will be added to the plaque.
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