HEROES for Youth Nomination

HEROES for Youth Award presented by National Safe Place and Southwest Airlines

HEROES serves as an acronym for individuals who:

H – Hear the voices of at-risk youth
E – Engage in the discussion
R – Respond to the call
O – Observe the need for change and take action
E – Educate and Encourage key stakeholders to make a positive difference
S – Significantly change the lives of at-risk youth for the better

Additionally, award recipients have:

  • Developed effective, innovative responses to the needs of youth
  • Demonstrated exemplary youth advocacy efforts
  • Exhibited broad leadership and commendable service
  • Achieved recognizable accomplishments and positively influenced the field of services to youth

The deadline for submitting applications is July 1, 2013.

NOMINEE INFORMATION

Name (required)

Organization

Position

Address line 1

Adress line 2

City

State

Zip

Phone (required)

Fax

Your Email (required)

NOMINATOR INFORMATION

Name (required)

Organization

Position

Address line 1

Adress line 2

City

State

Zip

Phone (required)

Fax

Your Email (required)

Please answer the following questions about the nominee in detail.

You may attach additional sheets and you may also include additional supporting material. Please limit all supporting material, including your answers to the following questions, to no more than eight pages.

1. Describe how the nominee’s professional work and volunteer activities have made a broad, positive impact on the lives of at-risk youth.
2. What factors deem these contributions or achievements as exemplary?
3. Identify specific accomplishments of the nominee.
4. Describe why you feel this nominee deserves to be among the HEROES for Youth.

Please answer the questions below.

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