Nominations Form 2017 Nominations Form Contact Information Please ensure that all information, especially phone and email, is accurate and up to date. Note that Youth Ottawa may contact the nominator and/or nominee for further information or clarification if needed.NOMINATOR InformationYour name:* First Last Your email:* Your Phone Number †:*Relation to nominee:*I have know the nominee for X (number) years:*† Note: You may be contacted to verify the details of your nomination.Is there a secondary nominator?YesNoTheir name:* First Last Their email: Their phone number:Their relation to the nominee:They have known the nominee for X (number) years:NOMINEE InformationNominee's name:* First Last Nominee's gender:Nominee's age ††:*Nominee's email:* Nominee's address:* Street Address Address Line 2 City AlbertaBritish ColumbiaManitobaNew BrunswickNewfoundland & LabradorNorthwest TerritoriesNova ScotiaNunavutOntarioPrince Edward IslandQuebecSaskatchewanYukon Province Postal Code Nominee's phone number †††:*Nominee's school:*Nominee's grade level:*†† Note: Nominees must be 21 or under as of January 1st, 2017 to be eligible. ††† Note: Nominee may be contacted to verify the details of their nomination.Nomination Details You can choose a maximum of 2 categories for this nomination.Nomination category:* Academic Perseverance Award Service & Caring Award Arts & Culture Award Take a Stand Strength Through Diversity Entrepreneurship and Innovation Max Keeping Award for Personal Courage In fewer than 500 words, why does this nominee deserve to win a Spirit Award? It is suggested that you save your response elsewhere. Please address some or all of the following in your response: In what ways has the nominee impacted their community?What qualities/characteristics does the nominee possess that qualify him/her for this award?Why Deserves?*Please ask the nominee to answer ONE of the following questions (maximum 300 words) Tell us about your most meaningful experience helping others. Tell us about your passion and why it's important to you. (art, technology, sports, etc...) Tell us about an obstacle that you have overcome. How has this shaped your outlook and accomplishments? Describe your plans for the future and how your experiences have shaped your goals Nominee Question*Please ensure that all additional information is current and relevantAdditional InformationYES, I have referred to the 2017 Category Page and am familiar with Spirit Award categories, eligibility, criteria and other important information.* YES, I have referred to the 2017 Category Page and am familiar with Spirit Award categories, eligibility, criteria and other important information. I agree that, to my knowledge, all information provided is accurate and up to date* I agree that, to my knowledge, all information provided is accurate and up to date I understand that information may be verified by contacting the nominator or nominee.* I understand that information may be verified by contacting the nominator or nominee. I have informed the nominee that their name and photograph may be used for publicity.* I have informed the nominee that their name and photograph may be used for publicity. This iframe contains the logic required to handle AJAX powered Gravity Forms.