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Student-Leader Last Name: FORMTEXT ?????NAIA/NCCAA Institution and Student-Leader Agreement FormWe the undersigned have read, understand and agree with the benefits and expectations outlined below: To participate in the program the student-leader must:Be a current sophomore in good academic standing at an NAIA/NCCAA Institution. Agree to serve as an Ambassador.Attend a two-week Red Cross, NAIA/NCCAA Collegiate Leadership Academy in Washington, D.C. (June 6 - June 19, 2021; dates subject to change).Agree to organize at least 2-4 Red Cross blood drives each year (both junior and senior years) on campus. Start or join a Red Cross club on campus.Agree to serve as a NAIA/NCCAA student-leader representative for Champions of Character. The student-leader will receive:A $2,000 scholarship (disbursed at $500 per semester provided that Program expectations are met) – The Red Cross will distribute the scholarship checks made payable to the institution to be used toward the education of the student-leader selected. The second semester scholarship will be dependent on first semester performance. A two-week leadership academy at American Red Cross headquarters in Washington, D.C. (June 6 - June 19, 2021; dates subject to change).Roundtrip transportation to Washington, D.C., room, board and a stipend.An opportunity to learn from top Red Cross and NAIA/NCCAA representatives. An opportunity to make a significant impact on campus and in the community. In order for the student-leader to be eligible to participate in the program the school must agree to: Support and recognize the student-leader in forming or joining a Red Cross Club on campus. Support the ability of the student-leader to recruit blood donors and collection efforts on campus (ensuring proper facilities are made available for student-leader to schedule, adequate parking etc.) (To be completed by Athletics Director)In nomination of FORMTEXT ????? we offer our support of his/her participation in this program, and we agree to allow the Red Cross to conduct at least two blood drives per year on our campus.NAIA/NCCAA Institution Blood Drive information: 1. FORMCHECKBOX Blood drives must be sponsored by a campus club or organization. OR FORMCHECKBOX Blood drives do not need to be sponsored by a campus club or organization.2. FORMCHECKBOX Blood is not currently being collected on our campus. OR FORMCHECKBOX Blood is currently being collected on our campus by (Please specify blood collection organization) FORMTEXT ?????I certify that the student named on this application is a sophomore and in good academic standing. FORMCHECKBOX Yes FORMCHECKBOX NoNAIA/NCCAA InstitutionPresident SignatureNAIA/NCCAA Institution Athletic Director's SignatureCoach’s SignatureStudent-Leader's Signature ................
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