Awards of Excellence Nomination Collector

Thank you for nominating!

Don't forget to send a photo of your nominee to CSpencer@thurstonTOGETHER.org as well as completing this survey. We will use these for event promotions & honoree recognition!

Question Title

* 1. Your Contact Information (Nominator)

Name

School/Organization Name

Position

Street Address

City/Town

State/Province

ZIP/Postal Code

Email Address

Phone Number

Question Title

* 2. Youth Contact Information (Nominee)

Name

School Currently Attending

Grade in School

Street Address

City/Town

State/Province

ZIP/Postal Code

Age

Email Address (please do NOT list a school email)

Phone Number

Question Title

* 3. Parent/Guardian Contact (if different than youth's)

Name

Company

Address

Address 2

City/Town

State/Province

ZIP/Postal Code

Email Address

Phone Number

Awards of Excellence Nomination Collector

Thank you for nominating!

Question Title

* 1. Your Contact Information (Nominator)

Question Title

* 2. Youth Contact Information (Nominee)

Question Title

* 3. Parent/Guardian Contact (if different than youth's)

Question Title

* 4. How long have you known this youth?

Question Title

* 5. How has this youth shown leadership & resilience in the face of personal hardship?

Question Title

* 6. What challenges or structural barriers are you aware of that have impacted this youth?

Question Title

* 7. What are their future plans, if known?

Question Title

* 8. Is there any other information you think we should have?