With Our Youth! Nomination Form

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NRTA's History

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NRTA With Our Youth!

View the outstanding service performed by the 2011 award recipients of NRTA's 12th Annual With Our Youth! Awards. Read

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NRTA With Our Youth! Award Nominations

nomination
Form

Nomination Timeline

Nominations may be sent at any time throughout the calendar year. An independent selection committee will meet to select the annual award recipients. Nominations submitted after the June 8, 2011 closing date will be considered for the June 8, 2012 award selection period. Please read the With Our Youth! nomination guidelines before completing this form.

You may also download a pdf version of this form and mail it to NRTA, 601 E Street NW, Washington, DC 20049.

Nominator's Name*

Organization

Street*

City/State/Postal Code*

Phone*

Nominator's Email*

Complete the section below on the person you are nominating for this award:

nominee
Information

Nominee's Full Name*

Enter nominee's full name (first name, middle initial, last name)

Organization

StreetAddress*

City/State/Postal Code*

Phone*

Nominee's Email*

Project Details*

StateLocalIndividual

Please provide a brief description of the project (200-400 words).

Description of Project's Impact*

Please describe in 200-400 words the impact of the project on the youth with whom the volunteer(s) worked. If applicable, please also describe the impact on others in the community resulting from the project.

*All marked fields are required.