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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 mail us your nomination then please download the Nomination Form in PDF. Print the form and fill it out.

Nominee Information
Nominator (you)
Community Service and Citizenship

i.e. youth groups, religious groups, scouts, 4-H, etc. For religious groups, please state name of church.

What have they done in the community? Years of Service / Leadership Role

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, Youth Court, peer leadership groups, etc.)

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

Sports Teams, Year(s) Participating / Leadership Role

Educational Record

(if applicable)

Number of People in Graduating Class

Personal Information

Activities Related to Helping or Serving Fellow Youth

Future Goals / Aspirations

Rationale

Why are you nominating this particular student?

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Created on Tue, 05/04/2010 - 10:03am