Heroes in the Hood Individual Application

Name/Affiliation of person submitting nomination.

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* 1. Name/Affiliation of person submitting nomination.

Nominating Adult Contact Information (all other questions are relative to teen nominee)

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* 2. Nominating Adult Contact Information (all other questions are relative to teen nominee)

Please provide us with the following information on nominee:

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* 3. Please provide us with the following information on nominee:

Age:

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* 4. Age:

Grade

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* 5. Grade

In which city ward do you live? (If you're not sure, click here to view the ward maps.)

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* 6. In which city ward do you live? (If you're not sure, click here to view the ward maps.)

Please fill out the following information about your school:

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* 7. Please fill out the following information about your school:

Please provide a detailed description of teen's service or project. 
What was done?
Who was helped? Why was it done? What were the results?

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* 8. Please provide a detailed description of teen's service or project. 
What was done?
Who was helped? Why was it done? What were the results?

Contest Rules:

1. You must be 12 — 18 years of age.

2. Service or project must have been performed in 2017.

3. You must be a Chicago resident.

Deadline: Entries must be returned by April 23, 2018.

Contest Sponsors:

GO Airport Express

Chicago Crusader

DuSable Museum of African American History

Chicago White Sox

WVON-AM

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