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The Joyce Dickerson Student Leadership Award

The Moving Forward Together Summit Planning Team is requesting student designs and videos for the
2017 National Summit of Schools, Communities & Law Enforcement. The theme for this years summit
is Moving Forward Together. The winning student in the Design Contest and the winning student team
in the Video Contest will be recognized at the opening ceremony of the 2017 Summit on June 12-13,
2017.
Design Contest for Grades 3 through 8 One winning student entry will be recognized on stage
at the Summit, receive a plaque, participate in the Winter Disney Leadership Institute (Orlando,
FL) and be Chairwoman Dickersons distinguished guest at the Summit.
Video Contest for Grades 6 through 11 - One winning team entry (a multi-racial team of no more
than three) will be recognized on stage at the Summit, receive a plaque, participate in the Winter
Disney Leadership Institute (Orlando, FL) and be Chairwoman Dickersons and the Richland
County Councils distinguished guests at the Summit.
Districts can only submit one student entry in the Design Contest and one student team entry in
the Video Contest. All students who have their entries submitted for competition by their district
will be invited to the Summit and be recognized at the Summit from their table, receive a
certificate commending their participation, and be Chairwoman Dickersons and the Richland
County Councils guests at the Summit.

Submissions must be received by Friday, April 28, 2017 and will be assessed with the following rubric.
The winning district will be notified no later than May 22, 2017. If there are questions concerning this
process, please contact Dr. Gary L. Burgess at gary@blueribbonschools.com or 864-760-3656.
Design Contest Guidelines, Submission Forms, and Rubric
Theme Design Contest Form

The design must include the following text:


Students must be enrolled in grades 3-8.
The design must include the theme of the 2017 conference with emphasis on building better
relations between school, law enforcement and communities of color.
The design must be scalable and submitted as an 8.5 x 11 inch PDF, portrait orientation, with a
inch white border.
The design must be submitted by the districts representative and accompanied by the
completed registration form.
The design must be the students original work and must not include copyrighted or otherwise
protected information material.
Districts must submit their winning entries via United States Post Service to Art/Essay Contest,
C/o Richland County Council, Kimberly Roberts, P.O. Box 192, Columbia, South Carolina,
29201 postmarked no later than Friday, April 28, 2017.
Each entrant irrevocably grants to Blue Ribbon Schools of Excellence a non-exclusive, royalty-free
transferable license and right to use or modify the design in any media format, in perpetuity, worldwide
for any purpose, including advertising and publicity purposes.
This form must accompany all artwork submitted in the 2017 National Summit of Schools,
Communities, and Law Enforcement contest.

Theme Design: _______________________________________________________________________


Artist Name(s): ________________________________________________________________________
Grade level (3-8 grades only): ____________________________________________________________
School: ______________________________________________________________________________
County: ______________________________________________________________________________
School Administrator: __________________________________________________________________
School Administrator E-mail: ____________________________________________________________
School Address: _______________________________________________________________________
City: __________________________________________ State: ____________ Zip: ________________

I have read and fully understand and will comply with the rules and conditions of this contest. I
understand that all submissions are final. I understand that if my entry is selected as the winner I grant to
the Blue Ribbon Schools of Excellence a non-exclusive, royalty-free transferable license and right to
modify the design in any media format, in perpetuity, worldwide for any purpose, including advertising
and publicity purposes.

____________ _____________________________________________________________
Date Signature of Artist

____________ _____________________________________________________________
Date Signature of Parent/Legal Guardian

______________ _____________________________________________________________
Date Signature of School Administrator

All entries must be signed above. Artists under 18 years of age must a have parent/guardian signature.
Design Scoring Rubric

Theme: ___________________________

0 1 2 3 4 5

Low High

_____ Does the artwork have a sense of originality and creativity?

_____ Does the artist creatively develop the theme?

_____ Does the artwork reflect diversity?

_____ Does the artwork address to the intended audience (schools, communities, and law enforcement)?

_____ Does the poster display good language skills and font design: proper or correct spelling, sentence
structure, grammar, and punctuation?

_____ TOTAL SCORE


Video Contest Guidelines, Submission Forms, and Rubric
1. Each complete entry should consist of the following elements:
Video (not to exceed 3 minutes)
Complete Web Entry Form (with qualified sponsor)
Student Release Form (one for each person who appears in the video)
2. Each VIDEO submitted:
Should address the key theme of building better relations between schools, law enforcement
and communities of color
Is limited to 3 minutes, including credits
Must be uploaded to YouTube in a .mov format
3. To be considered, complete entries must be postmarked no later than Friday, April 28, 2017.
Districts must submit their winning entries via United States Post Service to Art/Essay Contest, C/o
Richland County Council, Kimberly Roberts, P.O. Box 192, Columbia, South Carolina, or emailed
to gary@blueribbonschools.com no later than midnight Friday, April 28, 2017.
4. Entries will be judged using the attached rubric.
5. Copyrights must be honored. The use of copyrighted materials (such as popular music, brand names,
and images) is NOT PERMITTED. There is a variety of copyright-free music, visuals and other
material resources that you may use.

Each entrant irrevocably grants to Blue Ribbon Schools of Excellence a non-exclusive, royalty-free
transferable license and right to use or modify the design in any media format, in perpetuity, worldwide
for any purpose, including advertising and publicity purposes.

This form must accompany all artwork submitted in the 2017 National Summit of Schools,
Communities, and Law Enforcement Contest.

Video Theme Title: ___________________________________________________________________


Artist Name(s): ________________________________________________________________________
Grade level (6-12 grades only): ___________________________________________________________
School: ______________________________________________________________________________
County: ______________________________________________________________________________
School Administrator: __________________________________________________________________
School Administrator E-mail: ____________________________________________________________
School Address: _______________________________________________________________________
City: __________________________________________ State: ____________ Zip: ________________

I have read and fully understand and will comply with the rules and conditions of this contest. I
understand that all submissions are final. I understand that if my entry is selected as the winner I grant to
the Blue Ribbon Schools of Excellence a non-exclusive, royalty-free transferable license and right to
modify the design in any media format, in perpetuity, worldwide for any purpose, including advertising
and publicity purposes.

____________ _____________________________________________________________
Date Signature of Artist

____________ _____________________________________________________________
Date Signature of Parent/Legal Guardian

______________ _____________________________________________________________
Date Signature of School Administrator

All entries must be signed above. Artists must a have parent/guardian signature.
Video Scoring Rubric

CATEGORY 4 Stars 3 Stars 2 Stars 1 Star SCORE


15-20 points 10-14 points 5-9 points 0-4 points
THEME Addresses the theme Addresses theme in a Address the theme Theme was not
in a creative, clear and unique way but overall message addressed
innovative and by responding to the was unclear or hard
powerful way by key prompt(s) to follow
responding
appropriately to the
key prompt(s)
CAMERA Quality camera A variety of camera Camera angle is Video is too shaky
WORK angles/shots that angles/shots are used static for easy viewing
enhance the overall
message Lighting makes Scene lighting is Images cannot be
images easy to see distracting seen
Lighting uses video-
graphic techniques Sound quality is easy Sound quality is Poor sound quality
to hear distracting
EDITING Sequencing, pace Sequencing and pace Editing has been Scenes are unedited
and transitions are is developed done but is
used undeveloped
Music/sound effects
Music/sound effects are included
enhance the message
CREDITS If used, sources are If used, sources are Sources (music, Sources are not cited
AND cited n MLA format cited in MLA format visual arts, etc) are
SOURCES not cited in MLA
*See citation format etc.
examples in the
TAGT Connect
Student Video
Competition
Discussion
CREDITS Participant credits All participant Partial listing of Participant credits
are listed, including credits are listed Participant credits are not listed
work participants
performed (camera,
editing, etc.) to show
evidence of
collaboration
TOTAL
SCORE:
Adapted from the Gifted and Talented Rubric (TAGT, 2017)
Video Release Form

I, _____________________________________, agree that I may be videotaped, interviewed or


photographed as part of my participation in the 2017 National Summit of Schools, Communities, and
Law Enforcement video project in association with the Summit.

By signing below, I agree to allow Blue Ribbon Schools of Excellence to use my ideas, likeness and all
supporting materials associated with the production of the video project at the 2017 National Summit of
Schools, Communities, and Law Enforcement on their website and in marketing materials.

Signature ______________________________________________
Date______________________________

A parent or guardian must fill out the following information:

Signature ______________________________________________ Date__________________________

Name (please print): ____________________________________________________________________

Address: _____________________________________________________________________________

City, State and Zip: ____________________________________________________________________

Phone: _______________________________________________________________________________