Online Outstanding Youth Award Nomination Form

  • 2019 Nomination Form

  • Nominee Information

    Tell us about your nominee. Please complete all fields in the application.
  • Date Format: MM slash DD slash YYYY
  • Date Format: MM slash DD slash YYYY
  • Please enter a number from 12 to 20.
  • Nominator's Information

  • Additional Contact Person

  • Signature of Nominator

  • By typing my name in the space below I stated that to the best of my knowledge, all the information provided in this application is true and reflects the nominee accurately. I have made note of specific information about the nominee that needs to be kept confidential.
  • Tell us why your nominee deserves this award.

    Please be as specific as you can and use additional sheets if necessary. Pertinent supplementary material may be included. Nominations with very brief, illegible or incomplete information may not be given as much consideration as thorough nominations. Provide as much information and as many specific examples as possible. (Examples might include: overcoming physical, emotional, or other challenges; providing financial or emotional support to family and friends; care of sick or elderly sibling, parent, or friend; providing positive leadership and role modeling for other youth; positive behavioral changes; and community involvement.)