Young Philanthropist Award Nomination

Nominee Information

Name of Nominee (Individual/Group)

Contact Name (If Group)

Address

City

State

Zip Code

Nominee Phone

Nominee Email

High School.

Grade Level(s)

Volunteer Activity/Project Information

Describe the volunteer activity including number of hours served on the project, number of students involved and the time period.

Explain why you feel this nominee is deserving of this award.

Your Information

Your Name

Address

City

State

Zip Code

Your Phone

Your Email

I attest that the nominee and I meet all eligibility requirements for this award.

Today's Date

Signature

Contact Information