Interested schools can print this form and fill it up to enter, your information will be verified by our staff, before your high school student is allowed to enter for details email mcautismfoundation@gmail.com
ENTRY FORM - 2011
THE MAIA CHUNG AUTISM AND DISABILITIES FOUNDATION "DISABILITIES AMBASSADOR" COMPETITION 2011
Name _____________________________________
School____________________________________
Age_______________________________________
Community---------------------------------
Parents Signature-------------------------
(1) Why would you make a great Maia Chung Autism and Disabilities Foundation Disabilities Ambassador
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Criteria for Judging:
visiting with the disabled and helping them around the home, job, school, church in safe and crucial activities, in the geographic location where the club is located. This must be done where appropriate and safe for the clubbite and the person in need
(1) Excellent (2) Very Good (3) Good (4) Average
cook meals for them, run errands, as well as servicing needs where appropriate -which they are unable to do for themselves
(1) Excellent (2) Very Good (3) Good (4) Average
including a disabled person on an appropriate 4 H club trip and or activity safely (this disabled person would be chosen by the competitor)
(1) Excellent (2) Very Good (3) Good (4) Average
spreading the message of being kind to the disabled in a creative fashion that they have designed - i.e. posters, giving presentations to the congregation at church and their schools and 4 H Clubs, designing disabilities awareness displays for their local libraries - these will be verified by their teachers and librarians and club leadership
(1) Excellent (2) Very Good (3) Good (4) Average
Studying about one disability of your choice and writing a 1000 word essay that will be submitted to The Maia Chung Autism and Disabilities Foundation by January 30 - 2011 for judging
(1) Excellent (2) Very Good (3) Good (4) Average
conducting and organising a special treat for a disabilities home of your choice during the period of the competition
(1) Excellent (2) Very Good (3) Good (4) Average
