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 2016.
    3. You must be a Chicago resident.
Deadline: Entries must be returned by April 15, 2017..
Contest Sponsors:
    GO Airport Express
    Chicago Crusader
    DuSable Museum of African American History
Chicago White Sox
WVON-AM

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