Outstanding Student Award Nomination Form

Please complete the form below to nominate a student for CYC’s Outstanding Student Award.

Student Nominee Information

First Name

Last Name

Grade

CYC Program

High School Affiliation

Cell Phone Number

Personal Email

Nominator Information

First Name

Last Name

Relationship to Nominee

Phone

Nomination

Your written responses to the following prompts will help our judges understand more about the unique qualities of this special young person. The ideal length of response to each question is 150-200 words, but not required.

1. What makes this student stand out from other students including their leadership skills and school/family or community involvement?

2. How does this special young person exemplify CYC’s core values (listed below)?

We are Collaborators. Building relationships for brighter futures.
We are Genuine. Serving with integrity.
We are Mentors. Opening doors and uncovering pathways.
We are Accountable. Delivering results with excellence.
We are Mission-Driven. Pursuing purpose with heart.

Please note that this is a competitive process and the use of AI could be detrimental to submissions.

Student Nominee Information

Nominator Information

Nomination

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