Youth Adult Advocate of the Year Award Nomination Form

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Instructions Section

Presented annually to a volunteer who distinguishes him/herself by engaging in public or private efforts which promote positive activities and support the best interest of the youth of North Brunswick.

This award is given in the spirit of volunteerism and accordingly all nominees must be nominated for their volunteer efforts.

Please click on the FILL OUT tab above to complete and submit the nomination form. Nominations must be received by Tuesday, October 15, 2024.

CRITERIA

An adult volunteer who actively participates on school or Township boards and committees that benefit youth.

AND/OR

An adult volunteer coach or leader of youth sports programs.

AND/OR

An adult volunteer leader of scout, religious or other youth programs.

AND/OR

An adult volunteer who engages in public or private efforts that promote and deliver positive activities for youth.

NOMINATION DEADLINE: Tuesday, October 15, 2024

All nominations will be reviewed by the Township Parks and Recreation Advisory Committee and an annual recipient of the Youth Adult Advocate of the Year Award will be recognized in December, date TBA.

Form Section

Section I – Adult Volunteer Nominee

Name of Youth Advocate Nominee(Required)

First Last

Affiliation(Required)

Address(Required)

Street Address Address Line 2 City State / Province / Region

Phone(Required)

Email(Required)

Section II – Description of Adult Volunteer Activities

Describe the volunteer youth serving activities of this nominee. Please be specific in giving names of organizations this person has been affiliated with including: - Name of organization(s) - Role/Purpose of the organization(s) - Projects, services, activities developed and/or delivered by organization(s) to benefit youth - Length of nominee’s tenure in organization(s)

Description of Adult Volunteer Activities(Required)

Section III – Volunteer Impact on Youth

Describe how the volunteer efforts of the nominee have impacted on the organization(s) on the services delivered by the organization(s), and on the quality of life for youth in North Brunswick.

Volunteer Impact on Youth(Required)

Section IV – Summary Statement

Briefly summarize in a few sentences why you feel this nominee should be chosen as a Youth Advocate in the Township of North Brunswick.

Summary Statement(Required)

Section V – Nominator

Name of Nominator(Required)

First Last

Title(Required)

Home Phone Number(Required)

Work Phone(Required)

Email(Required)

Affiliation(Required)

Signature(Required)

Date(Required)

CAPTCHA

Youth Adult Advocate of the Year Award Nomination Form

Instructions Section

Parks, Recreation & Community Services

Department Page

Form Section

Section I – Adult Volunteer Nominee

Section II – Description of Adult Volunteer Activities

Section III – Volunteer Impact on Youth

Section IV – Summary Statement

Section V – Nominator

Parks, Recreation & Community Services

Department Page

Form Section

Parks, Recreation & Community Services

Department Page