Youth Awards Nomination Form

* Required Fields

NOTE: You will need to provide a narrative (up to 200 words) and upload at least one reference letter in the last section of this form. Make sure you have these items ready before starting this form.

Select Award Category *

Nominee must be a Monroe County resident!

Nominee Information
Parent/Guardian Information

If nominee is under 18 please also provide parent/guardian address and contact information.

Is nominee under 18? *
Nominator Information
Narrative & Reference Letters

Please provide a narrative to support your nomination. Narrative must be no more than 200 words and nominees must meet all selection criteria to be eligible for consideration. To assist in your efforts, we recommend that you be sure to answer the following questions:

  • How has this individual demonstrated a commitment to the community and Monroe County?
  • What values does the nominee promote or encourage while working with youth, peers, or others?
  • In what additional volunteer activities has the nominee participated?

At least one letter of reference needs to be signed by persons attesting to the nominee's services, to include contact information, as they may be contacted for more information regarding the nominee.

Use the button below to attach reference letters *

Allowed file types: jpg, gif, png, pdf. Max file size: 5mb.
No files uploaded yet

Decisions made by the selection committee are final. Any questions can be directed to [email protected]