TEEN CHARACTER NOMINATION FORM - YMCA of the Northwoods

Join the YMCA of the Northwoods in celebrating values vital to our community’s future by nominating a teen who is making a difference in the lives of others. The Y Teen Character Award recognizes teens that demonstrate the Y’s core values of caring, honesty, respect, and responsibility. Teachers, counselors, coaches, neighbors, family, and friends are just a few examples of individuals who are encouraged to nominate teens to receive a Y Teen Character Award. Please nominate a teen who meets the following criteria or pass this information on to any individuals you think would know of a possible nominee. Nominations must be submitted by Friday, March 5 2021 for consideration.

Printable Form

Nominee Name *

First

Last

Nominee Email *

Nominee Phone # *

Nominee Mailing Address

Address Line 1

Address Line 2

City

State

Zip Code

(Please provide if know to allow us to mail out Award Letter.)

Nominee's School *

Grade *

Nominator Name *

First

Last

Nominator Phone *

Nominator Email *

Relationship to Nominee *

How long and in what capacity have you know the Nominee? *

In what way does the Nominee demonstrate Caring, Honesty, Respect, and Responsibility? Please be specific. *

Remember we do not get to meet your nominee. We select based on your nomination and recommendations from the school administration about your nominee. Please provide as much information as possible.

Who has been positively affected and/or what positive impact within the community has happened as a result of the actions by the Nominee? *

Remember we do not get to meet your nominee. We select based on your nomination and recommendations from the school administration about your nominee. Please provide as much information as possible.

What extracurricular activities are the Nominee involved in? (Sports, Boy/Girl Scouts, 4H, FFA, DECA, NHS, church youth group, part-time job, etc.) Extracurricular activities give the Teen Character Committee an idea of what the Nominee is involved in, but it does not guarantee them the award. *

Remember we do not get to meet your nominee. We select based on your nomination and recommendations from the school administration about your nominee. Please provide as much information as possible.