One World Alumni Dinner 2014 Nomination Form One World Alumni

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ONE WORLD ALUMNI
DINNER
2014
NOMINATION FORM
ONE WORLD ALUMNI DINNER
2014 NOMINATION FORM
The 4th Annual One World Alumni Dinner will be held at Homecoming in October, 2014. The Alumni
Association invites alumni to nominate a charity to be the 2014 beneficiary. Please complete the
following form and submit to the Alumni Office by Friday, February 28, 2014.
GOAL OF THE ONE WORLD ALUMNI DINNER
The award winning One World Alumni Dinner (OWAD) was designed to align with the academic plan of
Saint Mary’s University. The plan places a priority on building a tradition of community involvement,
fostering a culture of civic engagement and ensuring that social responsibility is recognized as a hallmark
of Saint Mary’s University. The Academic Plan also recognizes that the ultimate objective of a Saint
Mary’s education is to nurture and support productive, critical and responsible citizens.
The goal of the OWAD is to increase alumni involvement with Saint Mary’s University, to raise
awareness of Saint Mary’s in both local and global communities, while at the same time reaching out to
our alumni as responsible and caring citizens of the world.
The OWAD Selection Committee, comprised of members of the SMU Alumni Association, will select a
charity which has a connection with Saint Mary’s University or an alumnus who is touching lives with the
work they do. Recognizing the limited impact that can be made with a $10,000 contribution, the OWAD
committee will favour organizations that are helping people on a more local and grassroots level.
The selected charity is expected to work with the SMU Alumni Association to sell tickets/tables for the
dinner (approximately half of the tickets are expected to be sold be the partnering organization. Event
capacity is 200 people). As part of our continuing legacy, the SMU Alumni Office will profile the selected
charity 12 months after the charity has received the donation as well as in later years.
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PROUDLY PRESENTED BY
ONE WORLD ALUMNI DINNER
2014 NOMINATION FORM
MANDATORY REQUIREMENTS
1. CANADIAN REGISTERED CHARITY
Charity is registered and in good standing with Canada Revenue
Agency
Yes
#
Please provide the most recent CRA filed financial report
2. CONNECTION TO SAINT MARY’S (At least one of the choices below)
A Saint Mary’s University alumnus developed the charity.
Yes
A Saint Mary’s University alumnus is on the board of directors, advisory
committee, etc.
Yes
A Saint Mary’s University alumnus is a strong supporter or volunteer of
the charity.
Yes
A Saint Mary’s University Alumnus Who Is: Ill, No Longer Involved,
Deceased, Developed The Charity; Was A Board Member Of The
Charity; Was A Strong Supporter Of The Charity.
Yes
3. CHARITY CAN PROVIDE ALUMNUS GUEST SPEAKER AND OR REPRESENTATIVE WHO IS ALSO
AVAILABLE FOR PROFILE IN SMU PROMOTIONAL MATERIAL
Yes
Guest speaker is an alumnus of Saint Mary’s University.
Yes
Charity representative is an alumnus of Saint Mary’s University.
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PROUDLY PRESENTED BY
ONE WORLD ALUMNI DINNER
2014 NOMINATION FORM
GENERAL INFORMATION:
NAME OF CHARITY
MANDATE
ADDRESS
CONTACT PERSON
PHONE
EMAIL
WEBSITE
IS THE CHARITY IN FULL
SUPPORT OF THE
NOMINATION?
YES
WILL YOU BE
YES
ATTACHING
SUPPORTING
DOCUMENTATION? E.G.
BUSINESS PLAN,
PROMOTIONAL
MATERIAL,
BACKGROUNDER
NO
NO
IF YES, DO YOU AUTHORIZE SAINT MARY’S TO KEEP THESE ITEMS FOR EVALUATION PURPOSES?
SPEAKER INFORMATION:
NAME OF GUEST SPEAKER
DO YOU HAVE A HAVE A BRIEF STORY ABOUT YOUR CHARITY THAT IS INSPIRATIONAL OR MOTIVATIONAL?
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PROUDLY PRESENTED BY
ONE WORLD ALUMNI DINNER
2014 NOMINATION FORM
DONATION IMPACT: DEFINE THE SPECIFIC ACTIVITIES, PROGRAMS OR INITIATIVES THAT THE DONATION WILL SUPPORT
PLEASE BREAKDOWN HOW THE DONATION WILL BE SPENT
PLEASE STATE OR EXPLAIN HOW OUR CONTRIBUTION CAN BE PROFILED IN ONE OF OUR PUBLICATIONS IN
3-5 YEARS.
NEED:
HOW WILL BEING THE RECIPIENT OF THE ONE WORLD ALUMNI DINNER HELP WITH ONE OF THE FOLLOWING?
(PLEASE SELECT AT LEAST 1 AND EXPLAIN):
1.
2.
3.
4.
INCREASING YOUR PUBLIC PROFILE
INCREASING THE LEADERSHIP OF YOUR BOARD, COMMITTEE ETC.
INCREASING YOUR MEMBERSHIP
OTHER
HOW MUCH OF AN IMPACT WILL THE SMU ALUMNI DONATION HAVE ON YOUR CHARITY COMPARED TO OTHER
CONTRIBUTORS?
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PROUDLY PRESENTED BY
CHARITY IMPACT:
HOW DOES YOUR CHARITY SUPPORT INDIVIDUALS OR HAVE A DIRECT IMPACT IN CHANGING LIVES OF INDIVIDUALS?
AWARENESS:
WHAT IS THE CHARITY’S CONNECTION TO SAINT M ARY’S AND ITS PROVINCIAL, NATIONAL, AND INTERNATIONAL
COMMUNITY?
PROMOTION:
HOW WILL THE CHARITY PROMOTE THE EVENT? (PRINT, DIRECT MAIL, SOCIAL MEDIA ETC.)
HOW WILL THE CHARITY SELL TICKETS TO ITS STAKEHOLDERS, MEMBERS, SPONSORS, SUPPORTERS, ETC.
IS THE CHARITY ABLE TO
SHARE CONTACT LISTS
FOR PROMOTION OF
DINNER
_________# ON MAIL LISTS
_________# EMAILS
OUTREACH:
WHAT IMPACT DOES THE CHARITY HAVE ON SAINT MARY’S FACULTY, ALUMNI, STUDENTS, STAFF, AND FUTURE STUDENTS?
WHAT IMPACT DOES THE CHARITY HAVE ON THE BROADER COMMUNITY?
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PROUDLY PRESENTED BY
NOMINATOR INFORMATION:
NAME
ADDRESS
SMU DEGREE /YEAR
PHONE
EMAIL
CURRENT INVOLVEMENT/
CONNECTION WITH SMU
PLEASE COMPLETE AND FORWARD NOMINATION FORM TO THE SAINT MARY’S UNIVERSITY ALUMNI
OFFICE.
PLEASE DO NOT SEND FILES ON CD OR DISC
MAIL: 923 ROBIE ST, HALIFAX, NS B3H 3C3
EMAIL: [email protected]
FAX: 902.420.5140
DEADLINE: FEBRUARY 28, 2013
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PROUDLY PRESENTED BY
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