ENGAGE Coach Agreement

Congratulations on being chosen to participate in the Civic Coach program. We know that leading a successful student program takes a lot of work and time outside of your normal classroom duties. The purpose of this program rewards those Advisors/Coaches who excel in leading their student programs and meet certain criteria each semester. Typically, this program is limited to one stipend per school, but those schools bringing groups that well exceed the criteria listed below may be eligible for more than one stipend, if more than one teacher is active in the process of recruitment and advising. These exceptions may be made upon the request and approval of CCE HQ Staff.

Semester 1 Criteria

-Chapter affiliation fee paid in full to the CCE by October 15

-Bring at least 16 students to Youth Assembly

*All invoices must be paid in full prior to close of the event. The 16 students applies to one specific event, not divided between the events.

Each item must be satisfied to receive the semester 1 stipend of $500, which is payable on December 15th.

Semester 2 Criteria

-Bring at least 16 students to Youth in Government Expo

*All invoices must be paid in full prior to close of the conference. The 16 students applies to one specific event, not divided between the conferences.

-Bring at least 4 students to IGNITE summer conference (Advisor/Coach must attend with students) - *Must be registered and paid in fully by May 4th (only exclusions are for schools with top YA, JYA, & GUNA Officials)

Each item must be satisfied to receive the semester 2 stipend of $500, which is payable on July 15th.

School Name:

Advisor/Coach/Teacher Name:

Advisor Home Mailing Address:

City:

Postal Code:

Cell Phone:

Email Address:

I understand that participation in this program is voluntary and that conditions must be met before any payment or reward will be received. Failure to meet the qualifications as stated above will forfeit any stipend payment.

Signature (please type your name here as it will serve as an electronic signature for the purposed of this form):

Today's Date:

*This form must be submitted, along with mailing your affiliations/charter check (postmarked October 1st). You will receive a notification when your form is received . If you do not receive a notification, it was not successfully received by October 1st deadline, and you are not in line to qualify for the listed stipends above. Not eligible for grant recipient schools. Exceptions regarding stipends may be made by the State Program Coordinator. Thanks!

Contact Information