Exit this survey Youth Awards Question Title * Nominee Information Name of Nominee Birthdate Address Village Zip Code Telephone Number Name of Organization or Service Agency Years of Involvement Question Title * Please Select the Award for Which Nominee should be considered Award for Consideration Nominated for: (Please Select One) JUDGE FRANKLIN N. FLASCHNER ADULT AWARD - Over 25 years of age JUDGE JULIAN YESLEY YOUNG ADULT AWARD - Between 18 & 25 years of age OFFICER ROBERT BRACELAND SENIOR YOUTH AWARD - Grade 9 through 12 IRENE BICKELMAN JUNIOR YOUTH AWARD - Elementary through Grade 8. RUSSELL J. HALLORAN LIFE TIME ACHIEVEMENT AWARD –Adult Award Nominated for: (Please Select One) Award for Consideration menu Question Title * Please describe why you believe this candidate should receive this award. Question Title * Your Information Your Name: Your Phone: Your Physical Address: Your e-mail address: Done