APSAC
VERNON FULCHER
Award

Requirements: A K-11 student who has improved his/her attendance and academic performance due to a PSA Counselor's intervention.

Note: Nominating PSA Counselor must be an APSAC member.

Applicant's School _______________________________________________________

Name of Applicant ________________________________________________________

Applicant's Address _______________________________________________________

Applicant's Home Phone ___________________________________________________

Career or Educational Objective _____________________________________________

PSA Counselor (APSAC Member) ___________________________________________
Location _______________________________
Phone ________________________

Applicant - Please write an essay which includes why you deserve this award. Include your personal goals and how you plan to reach them. Younger students may draw a picture with a few sentences explaining the picture.

APSAC Counselor - Please write a short narrative about this applicant. We also want to use this opportunity to educate LAUSD Board members and other educators about our work. Be sure to include your role in applicant's success!

Please include applicant's essay, attendance record, report card and APSAC Counselor's narrative with this application and return packet to:

APSAC-PSA
Attn: Norlon Davis, Homeless Education, Permits/Student Transfers
1430 S. San Julian St. Bldg. #7 Los Angeles, CA 90015
Award recipient will be given award at a year end recognition.
Applicant receives award payment when he/she enrolls in college.
**DUE ON OR BEFORE: May 14, 2010**