State Council Service Program Awards Entry Form Page 2

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Describe project in detail. Use additional paper if necessary. Supplementary material may be
submitted along with the nomination. Accompanying materials can include letters, testimoni-
als, news clippings, photographs, pamphlets, etc. Do not submit tapes, videocassettes, DVD’S,
display materials, films, etc., as they will not be considered in judging the nomination.
ATTEST: _______________________________
Signed:______________________________________
(State Deputy)
(Grand Knight)
DO NOT SUBMIT THIS REPORT FORM TO SUPREME COUNCIL
ENTRY MUST BE RECEIVED BY THE STATE COUNCIL
TO BE ELIGIBLE FOR THE COMPETITION
For more information on the Service Program Awards go to
and click on the left-hand “Council” link.
STSP
11/11

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