201

9Nomi
nat
ionFor
m

Nominee(whoyouar
enomi
nat
ing) Additi
onalNomi neeinf
oforKi
ds(
ifappl
icabl
e)
Name: School:
Email
: Schooladdr es
s:
Address
: Gradel evel
:
Phone: KidsLegalGuardian
Bir
thdat
e: Name:
Addres s:
Phone:
Nominat edby(whoyouare.wemayneedt
oc ontactyouformoreinf
o)
Name:
Address:
Phone:
Rel
ationshi
ptonominee:

Nomi
nat
ionQues
tions(
pleas
ewr
it
eas
hor
texpl
ainat
ion)

1
.ReasonforNominat
ion:Pleasetel
luswhyyouar
enominati
ngthi
sindi
vidual
.
Tal
kaboutthenominee’svolunt
eerworkandl
engthofs
ervi
ce.

2.Descr
ibenominee:Pl
easeus ethi
ssecti
ont odes
cribeyourvol
unt
eer
.
Letusknowtheirouts
tandingquali
ti
es.Givespeci
ficexamplesoft
hewayst
heys
har
e
oranyotherr
elevanti
nformati
on.

3.Rec
ogni
ti
on:pl
eas
eli
stanyawar
dsorr
ecogni
ti
ont
henomi
neehasr
ecei
vedf
ort
hei
rwor
k