2023 Nomination Form -- Queer Youth
2023 Nominations Extended to March 10

The Queer Youth Leadership Award is given annually to queer youth who are 12 to 18 years of age to acknowledge their accomplishments and the contributions they have made to their communities as leaders, whether this be in their homes, schools, religious institutions, athletic or academic teams, or other social groups.

These youth are leaders of today who show a promise for the future.  They are out and have made a difference by overcoming obstacles in their own lives, or by working on projects that have benefited their community.  We encourage nominations for role models representing various races, cultures, languages, religions, ages, genders, classes, abilities, levels of education, and geographical locations.

Please contact us at (831) 427-4004 or nomination@QYLA.org for more information.

The Queer Youth Leadership Awards are produced by the Queer Youth Task Force.

Nomination Statement Guidelines:  Include at least 3 detailed examples of leadership of the following for the youth you are nominating. (If you would like to read a sample of a previous nomination in this category, please click here: sample):

  • How has this Queer Youth made a difference to others?
  • In what ways has this youth been a role model for queer youth in their field of academics, athletics, activism or the arts?
  • What obstacles has this youth had to overcome?
  • How does this young person show a promise for the future? Describe leadership abilities this person has demonstrated.
  • How does this youth stand out above others?

Incomplete nominations cannot be accepted!

Nominations Due Friday, March 10, 2023 at 5:00 pm!

* Required Fields

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Email *
Your Name (First/Last) *
Your Pronouns
Your Title
*
Your School or Organization
Your Phone
*
Your Email (if different from google form)
Queer Youth Nominee's Preferred Name (First/Last)
*
Queer Youth Nominee's Pronouns
Queer Youth Nominee's Phone
*
Queer Youth Nominee's Email
*
Nominee's School or Organization
*
Nomination Statement (see Guidelines above)

Please include as much detail as possible, as the judges base their decisions on the information provided.
*
Please save your "Nomination Statement" for your records BEFORE submitting.

Please note all fields must be completed for the nomination to be accepted -- thank you!

Upon completion you will receive an email confirmation within 24 hours with your submission details.

Note: If you do not receive a confirmation, please re-submit the nomination with the saved content or contact us at (831) 427-4004 or nomination@QYLA.org

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A copy of your responses will be emailed to the address that you provided.
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