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Champions for Youth Nomination Form
*
Indicates required field
Name
*
First
Last
This is the name of the person submitting the nomination not the nominees name
Organization
*
Nominating Organization
Email
*
Email address of person nominating not the nominees
Phone Number
*
Phone number of the person submitting the nomination not the nominees
Type of Nominee
*
Adult
Youth
Is this a youth being nominated or an adult being nominated. You can nominate one adult and one youth per organization
Name of Nominee
*
First
Last
Nominee Contact Information
*
Please provide a way for us to contact your nominee so that we can notify them.
Please describe in 250 words or less, why the adult or youth should be considered for this award
*
Type of Nominee
*
Adult
Youth
Is this a youth being nominated or an adult being nominated. You can nominate one adult and one youth per organization
Name Nominee
*
First
Last
Nominee Contact Information
*
Please provide a way for us to contact your nominee so that we can notify them.
Please describe in 250 words or less, why the adult or youth should be considered for this award
*
Submit
Home
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Home
CBWlfd LIFE IS GOOD Store
Events
Media
Who We Are
Community Programs
Our Team
Partners
Get Involved
Volunteer
Donate
>
Donate Options
Performers Form
Articles
Programs
Resources
For Adults 1
For Adults 2
For Parents
For Teens
Help Groups
Media
Other Resources
Perscription Pain Medications
Tips For Talking
Wellness
Campaigns
2020 What's in the Bag
2020 Billboards
Champions for Youth
>
CFY Nomination Form
Red Ribbon Week
>
Walk of Hope
>
Luminaries
Risk Behavior Survey
Contact
Archive
CFY Recipients 2015
Events 2015 Highlights
Events 2016
Family Disk Golf
In The News
Marino Bill
Meeting Minutes
News Archive
>
Coalition News
Community News
Legislative News
State News
National News
Photo Gallery
Red Ribbon Week - 2014
Red Ribbon Week - 2015