Scholarship and Advocacy Award Nomination Form

New Futures is once again seeking nominations for the Tom Fox Scholarships in Prevention and Treatment as well as the Advocacy in Action and Youth in Action Awards. Awards will be presented October 14th, at our annual Leadership Recognition and Awards Celebration.

Nominations will be accepted through August 31, 2011.

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Please provide basic contact information about the person or group you are nominating for this award

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Nominator Information (if not self-nominated)

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Please describe why this person or group should win the award or scholarship you selected above. Clearly state how this person or group meets the selection criteria outlined in the award or scholarship description. Is there anything else we should know about this nominee?

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Supporting documentation is permitted, if you feel it will assist us in evaluating your submission, however it is not required. Examples include news articles, photos, videos or examples of work product created as part of the nominee’s efforts. Please list any attachments and email them to acouture@new-futures.org.

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