Outstanding Youth Awards Nomination Form
2019
Sign in to Google to save your progress. Learn more
About the Foundation:
The Harkins Community Memorial Foundation was established in 2004 by Marva Brown, grandmother of James Lesley Harkins. James lost his life in a tragic drowning. Marva and her family were forced into a world of intense emotion and grief over the loss of James. In an effort to help ease the suffering of other families facing the death of a child, Marva established a fund to assist with funeral costs that offers support in a time of crisis. These funds also assist in the celebration of positive youth in the community through the annual Outstanding Youth Awards. To date, the fund has provided financial assistance to the families of over 65 children; and has encouraged countless youth through the Annual Outstanding Youth Awards celebration!
Selection Criteria:
Candidates should be considered for their outstanding contributions to their church and/or community for a project that the individual initiated, organized, or contributed to significantly. Six nominees will be selected to be recognized and asked to attend the Youth Awards Ceremony on Friday, June 7th. All nominees will be celebrated, however, one nominee will be selected by a panel of judges as the "2019 Harkins Outstanding Youth Award" Winner.
Nomination Deadline Information
Nomination forms must be submitted via electronic form by Tuesday, May 14th
Youth Nominee Information
Name *
Age *
Address *
Telephone *
Email Address
School *
Grade Level *
Please give a detailed list of the youth's volunteer activities and community involvement: *
Please provide examples of the Youth's good citizenship, behavior, and attitude: *
Nominator's Information
Name *
Email Address *
Phone # *
Relationship to nominee *
How long have you known the nominee? *
Submit
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy