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2024 Sioux City Young Ambassadors
Nomination Form

To nominate a young person for the Sioux City Mayor's Youth Commission Young Ambassadors Program, please fill out the information below to show how they have displayed good character and/or exceptional leadership inside or outside of the classroom.

Nomination deadline is May 15th, 2024!
1.Child's First Name:
2.Child's Last Name:
3.All responses must be checked below for student to be eligible.(Required.)
4.What is the child's address including City, State, and Zip Code?

(Required.)
5.Grade in School(Required.)
6.School(Required.)
7.What is the child's gender?(Required.)
8.Parent(s)/guardian(s) name(Required.)
9.Parent/guardian phone number(Required.)
10.Parent/guardian email address(Required.)
11.Name of person making recommendation(Required.)
12.Email address of person recommending student(Required.)
13.Share below information explaining how your nominee displayed good character and/or exceptional leadership inside or outside of the classroom.  Please list any outstanding qualities displayed by the student or exceptional acts of kindness.  List any volunteer activities of your nominee.(Required.)
14.Has parent been notified of Young Ambassador nomination?