Award Nomination Form
First, tell us about you
About you
Title
Please select...
Mr
Ms
Miss
Mrs
Fr
Sr
Br
Rev
Mgr
Prof
Dr
Sir
First Name
Last Name
Your Role
Please select...
Teacher
Head Teacher
Chaplain
Friend
Parent
Priest/Deacon/Religious
Youth Worker
Other
Other selected - what is your role?
Email
Phone
Are you from a Catholic school, parish or organisation?
Yes
No
How are you linked with the catholic community
Name of School, Parish, Organisation
Organisation Type
Please select...
Primary School
Secondary School
Sixth Form College
Independent School
Parish
Church Organisation
Charity
University Chaplaincy
Other
Address
Town/City
County
Post Code
Country
Which award?
Which award are you nominating someone for?
Please select...
THE JIMMY MIZEN AWARD: Promoting solidarity and peace
THE CARDINAL HUME AWARD: Living out the option for the poor
THE JOSEPH CARDIJN AWARD: Protecting the dignity of workers
THE DOROTHY DAY AWARD: Fostering community and participation
THE BARBARA WARD AWARD: Caring for the environment
THE ST JOSEPHINE BAKHITA AWARD: Celebrating human dignity
THE CYMFED AWARD: An inspiring adult youth leader
Are you nominating an individual or group?
An individual
A group of young people (max 4)
Who are you nominating?
Young people aged 11–25 on 23 November 2017 are eligible for the six youth awards.
Only
volunteer adult youth leader, aged 18 or older, is eligible for the CYMFed award
First Name
Last Name
Age (11-25)
Age (>18)
Gender
Please select...
Female
Male
Who are you nominating? you may nominate up to four young people in a group
Group Name
Number of group members
2
3
4
Group member 1
First Name
Last Name
Age
Gender
Please select...
Female
Male
Group member 2
First Name
Last Name
Age
Gender
Please select...
Female
Male
Group member 3
First Name
Last Name
Age
Gender
Please select...
Female
Male
Group member 4
First Name
Last Name
Age
Gender
Please select...
Female
Male
Why you are nominating?
How has the young person or group shown a commitment to promoting solidarity or peace? (max 300 words)
How has the young person or group shown a ‘preferential option’ for people living in poverty? e.g. How have they enabled the voices of people experiencing poverty to be heard?
(max 300 words)
How has the young person or group stood up for the rights of workers/students, helped people into work, or shown leadership among their colleagues/peers?
(max 300 words)
How does the young person or group make their community a better place for everyone?
(max 300 words)
How has the young person or group conserved, enhanced or protected creation?
(max 300 words)
How does the young person or group recognise and celebrate the human dignity of others?
(max 300 words)
How has this inspiring adult youth leader supported the young people in their Catholic community?
(max 300 words)
How have they acted on their own initiative, and how have they been supported by others? (max 150 words)
What would receiving a CYP Award mean to them? (max 150 words)
Is there anything you would like to share about them that you wish to remain confidential within the panel? (max 150 words)
How did you hear about the awards?
Your Communication Preferences
We will keep in touch about your nomination. If you would like to continue to hear from Million Minutes, please tell us which emails you would like to receive:
eNEWSLETTER - a general update of all our news, sent no more than once a month, including information about grants to support youth projects
YOUTH AWARDS - news and updates about the ‘Celebrating Young People Awards’
siLENT - Campaigning and fundraising resources for individuals, schools, parishes and organisations
COURTYARD - News about our Courtyard Project, supporting parishes to reach out to young people ‘on the edge'
Contact Information