Making Genesee County the Best Place to Raise Children

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Nominate Your Champion Today!

Children's Champion Awards
Nomination Form

Please plan to join us for the 13th Annual Children's Champion Awards Breakfast on Friday, February 8, 2008.

Priority Children begins its Children’s Champion Awards in 1996 shining examples of people in the community doing good things for children. The awards are designed to recognize and thank individuals, businesses and organizations for their tremendous contributions toward making Genesee County the best place to raise children.

Nominations can be made by completing the following form.

Please make a nomination for one category only. If you'd like to nominate an individual or a group for more than one category, please use a new form.

Individual Nomination Categories:
(Select Only One Award Category)

James T. Dover, Jr. Outstanding Senior Award - Any senior adult (age 60+) who goes beyond the call of duty to do something special to help make Genesee County a better community for children.

Roy E. Peterson Caring Adult - Any adult (volunteer or employee) who goes beyond the call of duty to do something special to help make Genesee County a better community for children.

Outstanding Youth* - A high school student (grades 9-12) who has done something special to help make Genesee County a better community for children.

	*Note: A nomination in the Outstanding Youth category qualifies the student to apply for the Margaret Lochman Scholarship.
		Click Here to learn more about the Margaret Lochman Scholarship.

Program Nomination Categories:
Outstanding Business, Organization, or Community Initiative
(Select Only One Award Category)

That offers Special Opportunities for Children or Practices Family-Friendly Policies .

That provides a Healthy Start for Children Five and Under.

That provides Safe Places to Learn and Play for Children .

That provides Opportunities to Develop Employment, Career and Life-long Learning Skills for Youth.

That provides Volunteerism/Service Learning Opportunities for Youth.

Nominee Information
Name:
Affiliation:
Mailing Address:
City, State & Zip:
Phone:
Fax:
E-mail Address:
Youth Nominees:	Current Grade Level:	School Attending:

Please state the reasons for nominating this program or individual. The nominee's chances of being selected are increased by providing as much information as possible.

In what way has this nominee's performance been outstanding or beyond expectations:

Please state the number of years this person, group or program has been involved with/committed to children:

Who benefits from the service or program being nominated and how?

Nomination Made By:
Name:
Organization:
Mailing Address:
City, State & Zip:
Phone:
Fax:
E-mail Address:

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Nominate Your Champion Today!

Children's Champion Awards Nomination Form

Children's Champion Awards
Nomination Form