NHD-CA County Intent to Part 2014

National History Day–California
2014–15 County Participation Form
County: _______________________________________
Yes, our county will participate in NHD-CA for the 2014–15 School Year.
No, our county will not participate in NHD-CA for the 2014–15 School Year. Reason: _______
Contra Costa County Office of Education
Agency Hosting NHD in Your County: ________________________________________________
Address: _________________________________________________________________________
77 Santa Barbara Road, Pleasant Hill, California 94523
(925) 719-7507
Sia Sauer and Brenda Stutzman
Coordinator Name:_________________________________
Phone: __________________________
[email protected]
Coordinator e-mail: _________________________________________________________________
County HD Website: ________________________________________________________________
February 21, 2015
Date of County Competition __________________________________________________________
February 22, 2015
Weebly Lock Out Date: February
Unlock Date: ___________________________
15, 2015
Our county will host a county level NHD competition during the 2014–15 school year. We will
advance our champion students to the 2015 NHD-CA competition (May 8-9, 2015 in Rocklin, CA). I
understand that our county will be responsible for payment based on the number of schools from
our county registered for NHD-CA according to the fee structure below.
$75 per school registered for NHD-CA (Maximum of $750)
I understand that our agency will be billed after NHD-CA registration closes on March 27, 2015.
Payment is due May 1, 2015. I understand that if payment is not received, my county will not be
eligible to participate. Checks and purchase orders are to be made payable to Sacramento COE,
Attention: Fiscal Services, PO Box 269003, Sacramento, CA 95826.
Fiscal Agent: _____________________________________________________ Date: ___________
Printed Name and Signature
Title of Fiscal Agent _________________________________________________________________
As county coordinator, I will be responsible for distributing and coordinating NHD-CA information to participating schools, teachers, and or parents/students within my county and I will
serve as the initial point of contact for any questions related to NHD-CA. I agree to host our
county competition in line with the NHD-CA 2014–15 Rulebook.
County Coordinator ____________________________________________________
Printed Name and Signature
Please return this form by Friday, December 19, 2014