Internal Use Only:
Internal Use Only:
Status: Approved ______________ Rejected
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Amount: ______________________
Comments:
Post-Event Evaluation Report
Chapter Name ______________________________
Event Date _____________
Please list the event outcomes:
Attendance ____________________
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Please include/attach any press releases publicizing
the event or digital photos of the event.
Mid-America Council of the Institute of Management Accountants
2009 Student Leadership Award
Application Process Instructions and Selection Criteria
Description of the Mid-America Council Student Leadership Award:
Students receiving the Mid-America Council Student Leadership Award are recognized for their leadership activities, accomplishments, and involvement in the IMA (at the national, council, chapter and student chapter levels), as well as their leadership achievements in academic or professional activities and all other leadership experiences. Award recipients will receive a $330 stipend to be used to defray some of the costs of attending the IMA Annual Student Leadership Conference that will be held in St. Louis, Missouri, November 5th to 7th, 2009. As part of the award responsibilities, recipients must attend the conference and present or submit a follow-up report.
Number and Amount of Awards:
Three awards of $330 will be granted to IMA student members in good standing affiliated with a chapter or student chapter in the Mid-America Council.
Application Process:
Email or mail the following documents to: Diana McCabe, MAC Student Leadership Awards Subcommittee Chair, at mccabed@bhc.edu or to Diana McCabe, Assistant Professor, Black Hawk College, Building 1-363, 6600 34th Avenue, Moline, IL 61265.
· Completed application form with student’s signature (email address that includes applicant’s name will be accepted as signature) and IMA member number
· Current resume or other document that highlights the student’s leadership activities
· Personal statement from the student
· Recommendation form from a faculty member or IMA member (this is to be sent directly by the faculty or IMA member) and should not be emailed.
Application Deadline: October 10, 2009 (All materials for a complete application must be received no later than October 10, 2009. Late applications will not be considered.)
Criteria for Selecting Award Recipients:
· Leadership activities, accomplishments, and involvement in
§ IMA at the national, council, chapter or student chapter levels
§ Other academic or professional related leadership activities
§ All other leadership activities
· Student academic standing
§ Enrolled in school at least half time (6 hours) during the semester of application and the semester of the IMA Annual Student Leadership Conference
§ Undergraduate applicants must have declared an accounting major (or accounting emphasis if only a business major is offered)
§ Graduate applicants must be pursuing a master’s degree in accounting (or accounting emphasis if only a business graduate degree is offered)
§ Minimum GPA of 2.5 (on 4.0 scale)
· Strength of recommendation received from either a faculty member or an IMA member
· Persuasiveness of personal statement regarding how the applicant will benefit from attending the conference and what future leadership goals they plan to pursue. The focus of the personal statement could address why the applicant wishes to attend or what the student expects to gain from attending the IMA Annual Student Leadership Conference. This statement is not to exceed two paragraphs; thus it should be concise.
Award Recipient Responsibilities:
Each award recipient is responsible for the following.
· Register to attend the IMA Annual Student Leadership Conference (go the IMA’s web page at http://www.imanet.org)
· Submit the registration confirmation to the Mid-America Council Treasurer to receive the monetary award: Award recipients will be given detailed instructions. Note: It is expected that students would do this in advance of the conference thereby minimizing the out of pocket expenses incurred by the award recipient.
· Attend the IMA Annual Student Leadership Conference in the year of the award. Failure to attend the conference will result in an obligation of the student to reimburse the Mid-America Council for the amount of the award received.
· Prepare a report regarding the experience of attending the IMA Annual Student Leadership Conference. This report could identify the benefits the student gained from attending the conference, describe the actions they plan to take as a result of their attendance, or provide other reflections on their experience. The student must either
§ present their report at an IMA meeting such as a student chapter or local chapter meeting or at the Mid-America Council LTS (CLEW) session, or
§ have it published in the Mid-America Council Newsletter or on the Mid-America Council web page.
Award Selection Committee:
All Student Leadership Award applications will be reviewed by the Mid-America Council Student Leadership Awards Subcommittee. The chair of this subcommittee will serve as a facilitator only, thus will not review or vote on applications submitted.
Award Recipient Notification:
The selected award recipients will receive notification announcing their selection to receive this award in October 2009. Students will be asked at that time to commit to the terms of the award. If students decline the award, alternate award recipients will be notified.
Award Application Questions:
If there are questions regarding the Mid-America Council Student Leadership Awards application process, please contact Professor Diana McCabe at the address noted above or by calling (309) 796-5319 or e-mailing to mccabed@bhc.edu.
INFORMATION
APPLICANT NAME _____________________________________________________________
MAILING ADDRESS: ____________________________________________________________
CITY: ____________________________ STATE: _______ ZIP: ____________
TELEPHONE NO: SCHOOL____________________---_____
HOME_________________-------_______
IMA MEMBERSHIP NUMBER.________________ APPLICATION FORM
THE INSTITUTE OF MANAGEMENT ACCOUNTANTS - MID-AMERICA COUNCIL
2009 Student Leadership Awards Program
Three $330 Student Leadership Awards
Award Recipients will be announced in October, 2009.
Award Recipients agree to attend the IMA Annual Student Leadership Conference
in St. Louis, Missouri - November 5th through the 7th, 2009.
NOTE: When completing the application, please refer to the application instructions.
APPLICANT Effective Date of Membership:___________
SCHOOL________________________________________________________________________
CURRENT STUDENT STATUS:
Number of credit hours in which enrolled: Spring 2009 _________
Fall 2009 _________
Degree (check appropriate space): Bachelor’s ______________
Master’s ______________
Major field of study or area of emphasis _________________________________________
Cumulative Overall GPA ____________ Cum. GPA in Major Coursework______________
Expected date of graduation ___________________________________________________
APPLICANT’S SIGNATURE__________________________________ DATE______________
Submission Deadline: All materials for a complete application must be received no later than October 10, 2009. Late applications will not be considered. Email applications to Diana McCabe, MAC Student Leadership Awards Subcommittee Chair at mccabed@bhc.edu or mail to Diana McCabe, Assistant Professor, Black Hawk College, Building 1-363, 6600 34th Avenue, Moline, IL 61265. If there are questions regarding the Mid-America Council Student Leadership Awards application process, please contact Professor Diana McCabe at the address noted above or by calling (309) 796-5319.
Documents to Submit: (1) Application form, (2) Current resume or other document that highlights the student’s leadership activities, (3) Applicant’s personal statement, (4) Recommendation form from a faculty member or IMA member (this is to be sent directly by the faculty or IMA member and should not be emailed).
RECOMMENDATION FORM
THE INSTITUTE OF MANAGEMENT
ACCOUNTANTS - MID-AMERICA COUNCIL
2009 Student Leadership Awards Program
Description of the Mid-America Council Student
Leadership Award:
Students receiving the Mid-America Council Student
Leadership Award are recognized for their leadership
activities, accomplishments, and involvement in the IMA
(at the national, council, chapter and student chapter
levels), as well as their leadership achievements in
academic or professional activities and all other
leadership experiences. Award recipients will receive a
$330 stipend toward the costs of attending the IMA
Annual Student Leadership Conference that will be held
in St. Louis, Missouri, in November 2009. As part of the
award responsibilities, recipients must attend the
conference and present or submit a follow-up report.
To be Completed by the Applicant:
APPLICANT NAME: _______________
______________________________________________________
MAILING ADDRESS:
_____________________________________________________________________
CITY: _______________________________ STATE: _______
ZIP: _____________
RECOMMENDER NAME:
_________________________________________________________________
Signing below gives the faculty member or IMA member
noted below the authorization to complete this form,
including writing a recommendation statement, and
submitting it for consideration of the Mid-America
Council’s Student Leadership Awards Program.
APPLICANT’S
SIGNATURE________________________________________
DATE__________________
(The student’s signature authorizing the faculty
member or IMA member to complete this recommendation
form is required.)
***********************************************************************************
To be Completed by the Recommender - A Faculty Member
or IMA Member:
Please complete this form or prepare and submit a
separate recommendation statement to accompany this form
only after the student has signed the form authorizing
the faculty member or IMA member to prepare a
recommendation statement is required.
Recommender
Name_________________________________________________________________
Recommender Position Held
______________________________________________________
Telephone No. ______________________ or
E-mail Address _____________________________________
(Please note your preferred contact method by either
providing your phone number or e-mail address.)
Questions for the Recommender to Complete:
- For how long and in what capacity have you know
the student leader?
- Please rate this student leader on each of the
following leadership criteria.
Outstanding = 4 Good = 3 Average = 2 Poor = 1
No experience on which to base a ranking =
leave blank
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a. Effectiveness as a communicator |
4
____ |
3
____ |
2
____ |
1
____ |
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b. Level of self-motivation, willingness to
serve in leadership positions |
4
____ |
3
____ |
2
____ |
1
____ |
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c. Reliability, sense of responsibility for
leadership positions |
4
____ |
3
____ |
2
____ |
1
____ |
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d. Ability to identify organization needs
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4
____ |
3
____ |
2
____ |
1
____ |
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e. Initiative demonstrated in leadership
positions held (able to get things started) |
4
____ |
3
____ |
2
____ |
1
____ |
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f. Effectiveness in leadership positions held
(able to accomplish objectives) |
4
____ |
3
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2
____ |
1
____ |
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g. Interpersonal relations, demonstrates
consideration for and interest in others and
their views |
4
____ |
3
____ |
2
____ |
1
____ |
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h. Ability and willingness to cooperate to find
workable solutions |
4
____ |
3
____ |
2
____ |
1
____ |
| i.
Strength of character, demonstrates integrity
and ethical practices |
4
____ |
3
____ |
2
____ |
1
____ |
- Have you directly observed the student’s
leadership skills? ____ Yes ____ No
If so, please give at least one example of
your observation by defining
a)
the activity and
leadership role in which the student was
engaged 
