Nomination for the Youth Achievement Award - 2021

Please submit your Nominee below

The Youth Achievement Award recognizes the strengths and accomplishments of a young person or group of young people and will be presented on Wednesday, November 17, 2021 at The Palace at Somerset Park.

We are asking any and all to submit their nomination via the instructions listed below. Deadline for submissions is February 28, 2021.

The Nominee(s) should be New Jersey - based, under the age of 22, and be a (group of) child(ren), adolescent(s) or young adult (s) who has/have demonstrated initiative, talent and determination resulting in a notable accomplishment in any field - including - but not limited to - health, community service, education, and advocacy.

Please be sure to describe why you are nominating this individual or group of individuals citing specific examples of how he/she/they has/have made an impact.

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* 1. Your Name

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* 2. Your Email Address

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* 3. Contact Information Nominee (s)

Name Nominee (s) *

Name of Parents/Guardians

Address: *

Address 2:

City/Town: *

State:

ZIP:

Nominee(s)' Email Address (if known)

Nominee(s)' Phone Number (if known)

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* 4. Age of Nominee

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* 5. Please describe why you are nominating this particular person or group of individuals and provide specific examples of how he/she/they has/have made an impact.

Supporting documents, such as additional letter of endorsement, news articles, organization newsletters, or other publications are welcomed and encouraged, and may be emailed separately to lreinhardt@njaap.org.