Happy Smackah Beneficiary Application

The 2nd Annual Happy Smackah Fun Fun will be held May 12th, 2012 – and we’re looking for a new “Happy Smackah” beneficiary.

We’re currently accepting applications from someone in our St. Vrain Valley School District, either a student or employee, who has suffered a physical ailment and requires financial assistance. The only other requirement is the benefactor lives his/her life as a Happy Smackah.  Not sure what a “Happy Smackah” is?  Read about it here.

To apply, simply complete this online form.  Applications are being accepted through March 11th, 2012 and the 2012 Happy Smackah Recipient will be announced on March 19th, 2012.

Please note:

  • The Happy Smackah Committee will hold all applications strictly confidential
  • The chosen Happy Smackah will be required to sign a release acknowledging that the Happy Smackah Committee has no financial obligation to the recipient and that the fundraiser amount is not guaranteed

Application checklist:

  • Two St. Vrain Valley school district references
  • Brief statement of physical condition of applicant
  • Statement of how the applicant would like to join the Happy Smackah community to continue the tradition (non-mandatory)

Any questions or issues, contact info@happysmackah.com.

Applicant Name
Applicant School:
Applicant SVVSD Status: Employee
Student
Applicant Email:
Applicant Phone:
Applicant City:
Applicant Nominated By:
Reference 1 Name:
Reference 1 Email:
Reference 1 Phone:
Reference 2 Name:
Reference 2 Email:
Reference 2 Phone:
Please describe the Applicant’s situation, physical condition and health circumstances:
Please describe the Applicant’s Happy Smackah
qualities:
Please add any additional information you feel would be useful to the Committee in evaluating your application:
Over 13: To comply with U.S. Federal law, Happy Smackah can not collect information directly from children age 13 or under. Please verify that
the individual submitting this form is over 13 years of age. If you are under age 13, please have your parent or guardian submit this nomination on your behalf. I affirm that I am over 13 years of age
Applicant Assent: I am the Applicant I am submitting this Application on behalf of the
Applicant who is aware of this submissionMy Initials:

One Comment so far:

  1. […] apply, simply complete this online form.  Applications are being accepted through March 11th, 2012 and the 2012 Happy Smackah Recipient […]

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