To nominate a young person for the Sioux City Mayor's Youth Commission Young Ambassadors’ Program, please fill out the information below to show how they have displayed good character and/or exceptional leadership inside or outside of the classroom.  Nomination deadline is April 30, 2021!

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* 1. Child's Name

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* 2. All responses must be checked below for student to be eligible.

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* 3. What is the child's address including City, State, and Zip Code?

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* 4. Grade in School

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* 5. School

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* 6. What is the child's gender?

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* 7. Parent(s) Name

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* 8. Parent Phone Number

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* 9. Parent Email Address

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* 10. Name of person making recommendation

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* 11. Email Address of Person Recommending Student

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* 12. Share below information explaining how your nominee displayed good character and/or exceptional leadership inside or outside of the classroom.  Please list any outstanding qualities displayed by the student or exceptional acts of kindness.  List any volunteer activities of your nominee.

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* 13. Has parent been notified of Young Ambassador nomination?

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