ENTRY FORM 4 :
The Kirby's Crusader Youth 
Encouragement Award!  

YOUR NAME:                                                                                    AGE:         

POSTAL ADDRESS:                                                                                             

EMAIL ADDRESS:                                                                                              

CONTACT PHONE NUMBER:   (      )                                                              

HIGH SCHOOL:                                                                                                    

SUBJECTS BEING STUDIED:                                                                          

Favourite subject:                                                                                                

Subject you're best at:                                                                                        

Subject that's the hardest for you:                                                                   

Do you enjoy school?: YES / NO / BARELY

DESIRED GOAL:                                                                                                   

Do you work as an employee or volunteer outside of school
hours in pursuit of your goal?: YES / NO

If yes, please provide details of the job(s), hours worked and average 
pay received each week:                                                                                    

PLEASE ALSO ATTACH LETTERS OF SUPPORT FROM 3 REFEREES
WHO CAN TESTIFY HOW HARD YOU'VE BEEN WORKING TOWARD
YOUR GOAL. REFEREES MAY INCLUDE TEACHERS, EMPLOYERS,
PARENTS, COACHES OR GOAL MENTORS.   

ENTRIES MAY BE HANDWRITTEN OR TYPED, POSTED OR EMAILED.
AND on a separate sheet of paper (with your name at the top),
answer the following questions:

• Why is your goal important to you?

  ---

• How would $1000 help you to achieve this goal?

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• In achieving your goal, what other thing (or things) is/are more
  important than money?

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• In your own words, briefly describe all the things you've done
  so far to try to achieve your goal by yourself already.

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• Describe any sacrifices that other members of your family
  have made in order to help you achieve your goal.

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• Describe what you still have left to do to achieve your goal.

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• How will achieving your goal change your life and/or the lives
  of other people you care about?

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• What's the hardest thing(s) you've had to do so far to achieve
  your goal?

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• Name up to 3 things that you are frightened about which may 
  force you to give up or compromise on achieving your goal? 

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• Which goal-oriented character do you like out of the Crusader
  Series and what goal achievement or failure of theirs did you
  relate to (or enjoy) the most? 

  ---

• If you could offer one piece of advice to next year's students
  trying to achieve the same thing as you, what would you say
  to them? 

NOTES: All entries which receive a prize shall become the property of
Anita Bell for use and publication in promotion of future competitions and 
examples for the ongoing encouragement of other students to shoot for
their dream goals. However, since money is only "a means to an end", the
1st prize winner will also be interviewed after spending the money to
explain if (or how) the $1000 helped them the way they expected it to.