Asset Champion Nomination Form
Nominator Name *
Nominator Phone *
Nominator Email *
Relation to Nominee *
Nominee Name *
Nominee Phone *
Nominee Email *
What makes the nominee worthy of an Asset Champion award? What is their connection to youth? Explain who they are and what they do. *
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? *
If chosen, where would you recommend this person be presented with an award? (At a meeting, favorite gathering spot, at their home, etc.) *
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This form was created inside of Northfield Healthy Community Initiative.