To nominate a young person for the Sioux City Mayor's Youth Commission Young Ambassadors Program, please fill out the information below to show how they have displayed good character and/or exceptional leadership inside or outside of the classroom.

Nomination deadline is May 15th, 2024!

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* 1. Child's First Name:

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* 2. Child's Last Name:

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* 3. All responses must be checked below for student to be eligible.

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* 4. What is the child's address including City, State, and Zip Code?

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* 5. Grade in School

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* 6. School

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* 7. What is the child's gender?

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* 8. Parent(s)/guardian(s) name

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* 9. Parent/guardian phone number

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* 10. Parent/guardian email address

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* 11. Name of person making recommendation

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* 12. Email address of person recommending student

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* 13. Share below information explaining how your nominee displayed good character and/or exceptional leadership inside or outside of the classroom.  Please list any outstanding qualities displayed by the student or exceptional acts of kindness.  List any volunteer activities of your nominee.

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* 14. Has parent been notified of Young Ambassador nomination?

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