National Youth Service Day Awards Application

Nominee Information
Name * Required
First Last
Age * Required
Phone * Required
Email * Required
Address * Required
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code
School/Organization (if applicable)
Nominator Information
Name * Required
First Last
Phone * Required
Email * Required
Address * Required
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code
Questions to be answered by the nominator:
1) Why does this individual that you are nominating deserve to receive the National Youth Service Day Award? * Required
2) What non-profit organizations, agencies, or areas has this individual volunteered at? Please give detailed examples of the volunteer service performed. * Required
3) How many hours of community service has this individual performed? * Required
4) Please comment on any unique qualities or circumstances regarding this nomination.

Nominee Information