Asset Champion Nomination Form
Nominator Name *
Your answer
Nominator Phone *
Your answer
Nominator Email *
Your answer
Relation to Nominee *
Your answer
Nominee Name *
Your answer
Nominee Phone *
Your answer
Nominee Email *
Your answer
What makes the nominee worthy of an Asset Champion award? What is their connection to youth? Explain who they are and what they do. *
Your answer
How does the nominee build assets in young people? Where and with whom? Be specific. Share an example about how this person or organization has positively impacted Faribault youth? *
Your answer
If chosen, where would you recommend this person be presented with an award? (At a meeting, favorite gathering spot, at their home, etc.) *
Your answer
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This form was created inside of Northfield Healthy Community Initiative.