High School Merit Certificates and Excellence Award Form. Alliance Française de Buffalo -

Alliance Française de Buffalo

High School Merit Certificate and Excellence Award Form

Please print the form, fill it out (in caps), and mail by May 12, 2010 to:

    Alliance Française de Buffalo
    High School Merit Certificate and Excellence Award Submission Form
    59 Quail Run Lane
    Lancaster, NY 14086

or email form information to Colette Jowdy at cfjowdy@yahoo.com

You may participate in either or both offerings. You may identify the same student for the Merit Certificate and one of the three candidates to the Excellence Award or you may choose different students.

Name of School: _____________________________________________________
Address of School: ______________________________________________________
______________________________________________________________
Phone Number: ___________________________________________

1- Merit Certificate: We would like to present our best student with an Alliance Française de Buffalo High School Merit Certificate.

Name of Teacher

E-mail of Teacher

First and Last Name of Student

Home Address of Student

Date of School Graduation Ceremony

2 - Excellence Award: We would like to send students to participate in the Excellence in French Studies Dictée on Saturday, May 22nd at 9 a.m. at SUNY Buffalo’s Amherst campus, Capen Building, Room 258, sponsored by the Alliance Française de Buffalo and the University at Buffalo Melodia Jones Fund.

First and Last Name of Candidate 1: _____________________________________________________
Home Address of Candidate 1: _____________________________________________________
Phone Number of Candidate 1: ___________________________________ E-mail of Candidate 1: ________________________________________
Name of Teacher 1: ______________________________________________ E-mail of Teacher 1: _________________________________________

First and Last Name of Candidate 2: _____________________________________________________
Home Address of Candidate 2: _____________________________________________________
Phone Number of Candidate 2: ___________________________________ E-mail of Candidate 2: ________________________________________
Name of Teacher 2: ______________________________________________ E-mail of Teacher 2: _________________________________________

First and Last Name of Candidate 3: _____________________________________________________
________________________________________
Home Address of Candidate 3: _____________________________________________________
Phone Number of Candidate 3: ___________________________________ E-mail of Candidate 3: _____________________________________
Name of Teacher 3: ______________________________________________ E-mail of Teacher 3: _____________________________________

OPTIONAL

I would like to receive more information about the new Teacher Rate Membership offered by the Alliance Française de Buffalo.
Yes ___ No ___

I would like to receive more information about Special Workshops geared to French Teachers offered by the Alliance Française de Buffalo.
Yes ___ No ___

As a teacher, I would be interested in participating in the following activities

__ French play	__ playgroup (parents and children)
__ groupes de conversation	__ book/reading club
__ Goûter de Noël	__trips and travel
__ Francophonie	__ Cabaret
__ Annual Meeting	__Bastille Day Picnic

Merci!

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