Official 27Th Annual Kindest Kansas Citian Contest Form
27th Annual
Kindest Kansas Citian
Contest Guidelines
Please read the following contest guidelines carefully. The guidelines listed below are designed to help students meet the contest objectives of defining kindness and identify adult role models who demonstrate kind, caring, and respectful behavior that the students would like to emulate in their lives. Please ensure each student receives a copy of these guidelines.
Official 27th Annual Kindest Kansas Citian Contest Form
Sponsored by STOP Violence, a Program of Synergy Services
The contest guidelines are available through the school contest contact and on-line at www.synergyservices.org .
All submissions are due to Synergy Services no later than Friday, February 3rd, 2017.
*This information is REQUIRED to be complete, legible, and correct for top 20 honoree consideration.
*My name: ______*My parent(s) phone number: (______)______
*My grade: ______My Age: ______Circle One: Male Female
*My parent(s) name(s): ______My parent’s email:______
My address: ______City, ST, Zip: ______
*My school name: ______My teacher's name: ______
My school's address: ______City, ST, Zip: ______
*My nominee's name: ______Nominee’s email:______
*My nominee's home/cell phone: (______)______Work phone: (______)______
My nominee's address: ______City, ST, Zip: ______
My nominee is my (adult friend, coach, babysitter, teacher, etc.): ______
YouTube link (video only): ______
(email this link to )
Please write in ink on or attach your typed essay, picture (K-2 only), or video to this completed form.
To me, ______is my Kindest Kansas Citian because...
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27th Annual
Kindest Kansas Citian Contest
School Cover Page
►One copy of this form must accompany entries from the same school.
Please ensure essays are sorted and counted by grade level.
School District: ______
School Name: ______
School Address: ______
School City: ______State: ______Zip Code: ______
School Phone Number: (______)______Fax: (______)______
Principal Name: ______
KKC Contest Contact Person: ______
KKC Contest Contact Person Email:______
Number of essays included from each grade:
______Kindergarten ______5th Grade ______9th Grade ______TOTAL #
______1st Grade ______6th Grade ______10th Grade
______2nd Grade ______7th Grade ______11th Grade
______3rd Grade ______8th Grade ______12th Grade
______4th Grade
Postmark or deliver by 5:00 p.m. on
Friday, February 3rd, 2017
Synergy Services - KKC
400 E. 6th Street
Parkville Missouri, 64152
Questions? Contact:
Kate Pankey, Contest Coordinator
816-505-4832 or
27th Annual
Kindest Kansas Citian
Participation Prizes
Now there are even more ways to win in the Kindest Kansas Citian Contest!
One winner will be drawn for each of the three (3) groups below. Each winner will receive a minimum of a $250 gift card to a major retail store. Follow the Kindest Kansas Citian FaceBook page to watch the prize pots grow!
Student Winner: Each student essay, drawing, and video will be evaluated by a group of community volunteers. These volunteers are charged with the task of selecting the top 100 entries out of the thousands submitted. The criteria used by the community group are listed on the Contest Guidelines page. Each of the top 100 students’ names will be entered into a drawing for the Student Participation Prize! Only one (1) student will win the prize of $250+ to a major retail store. This student will NOT NECESSARILY be selected as one of the top 20 winners who attend the Kindest Kansas Citian Awards Celebration, although the student is certainly welcome to purchase a ticket and attend the event.
Faculty Winner: The names of school faculty (including School Coordinators) who played a part in the submission of AT LEAST 15 student entries into the Kindest Kansas Citian Contest should be listed once below (add sheet if necessary) and submitted along with the Cover Sheet and entries by Friday, February 3rd, 2017. Each of the faculty listed below is eligible for the Faculty Participation Prize of $250+ to a major retail store. One (1) name will be selected as the winner. This winner will NOT be recognized at or awarded a free ticket to the Kindest Kansas Citian Awards Celebration, although he or she is welcome to purchase a ticket and attend the event.
Kindest School Winner: See the Kindest School Guidelines for all entry rules. Everyone is welcome to nominate a school for the Kindest School Award. The Kindest Kansas Citian Committee will select the winning school based on the essay’s description of how the school achieves a kind school culture. The winning submission will demonstrate a comprehensive understanding of what it means to be the Kindest School. The Kindest School is recognized and awarded complimentary tickets to the Kindest Kansas Citian Awards Celebration. The Kindest School will also receive the $250+ gift card to a major retail store (not the individual who nominates the winning school).
Faculty Name Title Email Address
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