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Awards will be presented at the Illinois YMCA Fall Staff Rally September 26-27, 2024. Up to three (3) awards will be given and each program honored will receive $250 towards its efforts. Note: You will be required to submit a 1-3 minute video of your program. This does NOT have to be professionally done. It is just to have a visual representation of your program.

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* 1. Nominator Name:

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* 2. Nominator YMCA

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* 3. Nominator Email

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* 4. Nominator Phone Number

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* 5. What is the name of the program you are nominating?

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* 6. Name of Y where program is held

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* 7. Contact name for the program

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* 8. Contact email for the program

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* 9. Please describe how this program is innovative:

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* 10. Please describe the community need the program addresses and how the community / community partners are engaged in the program

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* 11. Please describe the any benefit that has been documented for your Y / community / participants as a result of this program

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* 12. How is your program funded? (program fees, YMCA operations, grants, sponsorships)

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* 13. If your program is funded by multiple types of source, please include a rough percentage for each type of funding:

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* 14. Please explain how this program could be replicated by other Ys regionally / throughout Illinois

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* 15. Please submit a link to your video. If you don't have a video prepared at this time, you have may email a link to the video prior to 9/15/23 to wendy.bonilla@illinoisymcas.org. 

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