Partners in Education Outstanding Youth Leadership Award Nomination

Now is the time to nominate an outstanding student from your school for the Jefferson City Area Chamber of Commerce Partners in Education Outstanding Youth Leadership Award. We are asking each Partner school (that's you!) to select one student (high school and middle schools – 1 from each grade; elementary schools – 1 per school) to receive this award. You can use whatever criteria you'd like to select the winner - think about community service, the CharacterPlus traits he/she embodies or the way he/she has overcome obstacles both large and small.

Simply complete this form with the student's name, school, and grade. Please also give us the date and time of your end-of-the-year awards assembly so we can attend and/or send your business partner(s) to present the award to the winner.  Once you begin this form, you must complete it in its entirety. You will NOT be able to save your work within this form. It is recommended that you review the questions and draft your answers in a Word document. Once you are ready to submit your application, you can copy and paste your answers into the form fields.  Once you submit this form you will receive a confirmation email.  If you do not receive an email immediately, the form was not submitted. 

The deadline to send us this information is Friday, April 5th

In closing, thank you for participating in our PIE program.  We know this support requires extra work and attention on your busy schedules and responsibilities.  This program would not be possible if we didn’t have great school partners.

(*) These fields are required.


♦ Contact Information ♦

First Name*
Last Name*
Grade*
School*


Nominator*
Title*
School*
Address
School Phone
Cell Phone
Email Address*

 

 

Date of Assembly*
Time of Assembly*
 

Please give a brief narrative, which will be read during the presentation, why this student should receive this award.

Please use 200 words or less.

Brief Narrative*
Monday - Friday
8:00 a.m. to 4:30 p.m.
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