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Student of the Week Nomination

This form is for the nomination of a student of Cattaraugus County for the Cattaraugus County Youth Citizenship Award.

If you would like to snail mail us your nomination then please download the Nomination Form, print the form and fill it out.

It is recommended that you use the form below for your convenience.

Nominee Information

Please add a color school photograph

Nominator (you)
Community Service and Citizenship

i.e. Interact Club, peer tutoring, and involvement with other children

i.e. youth groups, religious groups, Youth Court, Scouts, 4H, etc.

Extracurricular Activities

(Please list all school-based extracurricular activities in which the student currently is participating in, i.e. Honor Society, Math Clubs, Key Club, Band, Chorus, SADD, peer leadership groups, etc.)

Non Sports activities. Enter # of Year(s) Participating / Leadership Role. For band, please state instrument that the student plays.

Please enter the Sports Teams, total # of Year(s) Participating / positions played and for how long

Educational Record

(if applicable)

Number of People in Graduating Class

Personal Information

Please add any interests or hobbies not mentioned previously

Activities Related to Helping or Serving Fellow Youth (Please elaborate on volunteerism)

Future Goals / Aspirations

Rationale

Why are you nominating this particular student?

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Updated on Wed, 11/30/2011 - 3:26pm.
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