This form must be filled out by the district coordinator or their representative.
CLEMENT A. DURAN YOUTH PARTICIPANT SCHOLARSHIP AWARD CRITERIA :
Youth Participant (Clement A. Duran Memorial Awards)
 A senior in High School
 Participation in the Youth & Government program for a minimum of two years
 A participant who has exemplified the conduct expected as spelled out in the Code of Conduct
 Leadership involvement in local community and the Youth & Government program
 Qualify as a participant to the Youth & Government Spring Leadership Conference
 Assure the State Executive Committee that the award will be used for educational expenses.
 The cash award is presented at the closing banquet of the State Conference, contingent on supportive funding from
the NY State YMCA Foundation.
 Some consideration is given to financial need.

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* 1. Your Name (First and Last):

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* 2. Your Email:

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* 3. Please indicate your School or YMCA

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* 4. Name of the Nominee

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* 5. Please explain why this student should be considered for this award (based upon the previously identified criteria)

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