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Outstanding Student Award Application Form

Please complete this form to apply for the Outstanding Student Award.

Your Information

CYC Mentor or Staff Information

Who is your main point of contact or mentor at CYC? We will follow up with this individual and ask them to provide additional information about your unique qualities to add to your application materials for this award.

Student Photo

Ensure your face is visible and that the photo is appropriate to be shared for media and other marketing materials promoting your nomination or award.

Student Video or Essay

In a short 2–4-minute video, or a 500–750-word essay please answer the following questions to help our judges know more about you:

  • State your name, and the school you are attending/attended as part of CYC.
  • If you have already graduated, how are you currently pursuing enrollment in higher education or training, enlistment in the military or employment in the workforce?
  • How has CYC made a positive impact on your education, career or life decision?
  • How do you strive to better yourself, your family, your community or your school through involvement or volunteerism?
  • Why do you think this special person nominated you?

Once you have created your video or essay, please select which one you are submitted in the dropdown list and then attach your file. You only need to do one of the two options.

If you have any questions, please contact XXXX.

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