Coalition for a Better Wallingford | Connecticut
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Picture

    Champions for Youth Nomination Form

    This is the name of the person submitting the nomination not the nominees name
    Nominating Organization
    Email address of person nominating not the nominees
    Phone number of the person submitting the nomination not the nominees
    Is this a youth being nominated or an adult being nominated. You can nominate one adult and one youth per organization
    Please provide a way for us to contact your nominee so that we can notify them.
    Is this a youth being nominated or an adult being nominated. You can nominate one adult and one youth per organization
    Please provide a way for us to contact your nominee so that we can notify them.
Submit

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Copyright © 2020 Coalition for a Better Wallingford.  All Rights Reserved. 
  • 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