1. No category

Life Empowerment Awards
for Schools 2014 -15
- Promotion & Recognition of Co-Scholastic Development -
APPLICATION FORM
NOMINEE
Name of the School
:
________________________________________________
Address
:
__________________________________________________
Phone Number
:
(Tel.) _____________________ (Mob.)__________________
Fax Number
:
__________________________________________________
Email
:
__________________________________________________
Website
:
__________________________________________________
NOMINATION FOR
Sl.
No.
Award Categories for Best
Practices in Promotion of...
Jeevan Kaushal – Teacher
I.
Leadership for Promoting
Life Skills, Attitudes and Values
II.
School, Family and
Community Partnership
III.
Counseling Services in
Schools
IV.
Inclusive Education in
Schools
V.
Indian Art & Culture
VI.
VII.
Health & Physical Wellbeing
Principal Leadership for
Outstanding Endeavours
Name of Nominee
& Designation
(School/Individual)
Contact Number
Mobile
Landline
Email
Contact details for further communication.
Contact Person
:
___________________________________________
Designation
:
___________________________________________
Contact Number
:
(Tel.) ________________ (Mob.)__________________
Email ID
:
___________________________________________
Seal of Institution
Authorized Sign. & Designation
Date ___/___/______
Please Note:
The application fee for participation is Rs. 3500 per school (applicable to either 1 or more
categories).

The fee may please be submitted through a demand draft in favour of “EXPRESSIONS
INDIA” payable at New Delhi, latest by 20th April 2015.
Super-scribe the envelop with “APPLICATION FOR NOMINATIONS IN LIFE EMPOWERMENT
AWARDS FOR SCHOOLS 2014-15” and address to:
Dr. Jitendra Nagpal
Program Director - Expressions India
No. 38, Pocket – I
(Behind Asia Pacific Institute of Management)
Jasola Vihar, New Delhi- 110025

To avoid any lost in transit, you are requested to reconfirm your participation via email along
with scanned copy of the application form and
Demand Draft at
[email protected]

Post the assessment rubric, self assessment forms and supporting documents by
20th July 2015.