Youth Volunteer Service Awards Application

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YOUTH VOLUNTEER SERVICE AWARDS

The Colleyville Woman’s Club wants to recognize children and teens who volunteer. CWC believes that through volunteer service, one individual can make a difference. Through its Youth Volunteer Service Awards program, CWC honors the accomplishments of our area youth and brings community attention to these outstanding young people. All nominees, their families and friends are invited to attend a presentation ceremony in the spring. This is a community program of Colleyville Woman’s Club; there is no fee to nominate a child or for the child to attend.

NOMINATION DEADLINE: Must be postmarked by Third Friday in February

AWARDS

The CWC Youth Volunteer Service Awards recognize three levels of service activity and include three separate awards. The awards are judged in four age groups; nominees may receive only one award per year, but each award level may honor several honorees. Every child who applies receives award recognition. The committee completes its selections by April 15th.

ELIGIBILITY

Colleyville Woman’s Club honors individual achievement; however, individuals who perform community service as part of a group are eligible. The program emphasizes hands-on service.
Awards recognize voluntary, not paid, community service. Individuals who volunteer on work release time and for student course credit are eligible. Paid volunteer activities (other than
reimbursement for out-of-pocket expenses) are ineligible. Mandated voluntary service programs, through a school, business, teen court, etc., are eligible if unpaid.
Nominees must be between the ages of five (5) and nineteen (19) and have not completed high school. Applicants are considered within the following age groups, based on date of birth as of
September 1 of the current school year: Ages 5-7; 8-11; 12-15; 16-19.
Eligible nominees must EITHER: reside in Bedford, Colleyville, Euless, Grapevine, Haltom City, Hurst, Keller, North Richland Hills, Richland Hills, Southlake or Watauga; OR be a non-resident, but attend a public, private or home school in Bedford, Colleyville, Euless, Grapevine, Haltom City, Hurst, Keller, North Richland Hills, Richland Hills, Southlake or Watauga. The volunteer service is not confined to those areas, however.
Each award considers only individual volunteer service performed from Feb. 1st of last year to the last day in Jan. (31)
The program excludes lobbying efforts toward changing federal, state or local laws and ALL FUNDRAISING ACTIVITIES, regardless of good intent. Educational or public awareness merits of related activities may be considered.
Though applications are judged solely on submitted information, CWC reserves the right to contact nominators or references to clarity or verify information.

Youth Volunteer Service Award

SELECTION CRITERIA

Nominations are reviewed and judged, using these criteria:

Achievement—Nominee demonstrates a measurable community service and impact.
Need—Nominee contributes a service to the community.
Action—Involvement was active, not figurehead.
Builds a Service Ethic by:

- Showing Initiative—Takes the extra step and develops service projects
- Builds an Understanding of Issues—Learns and educates others in community problem
- Puts Ideas into Practice—Develop an idea, creates and implements a plan
- Demonstrates Leadership—Involves others, encourages teamwork, works well with others

NOMINATIONS

The nomination form should be legible and complete (please print in pen or type).
Individuals, parents, or groups may nominate one or more candidates. Individuals may also nominate themselves.
Nominations must be postmarked no later than Third Friday in February.
Supplementary information included with the nomination form is restricted to four (4) 8½x11 one-sided pages or less. This may include letters, newspaper clippings, non-copyrighted photos, etc. Video or audiotapes cannot be considered.
Judges may request additional information from nominees, nominators or references.
The application should include a signed Student Photo Release and nominee photograph, preferably no larger than 2½”x 3½”. Clearly mark the back of photo in felt pen (not ballpoint) with name and phone number. No ink jet or laser print of picture accepted. Photo will be returned at the recognition event. Submission of award nomination constitutes permission to use the nominee’s name, likeness (photo and video), and entry form data in any and all press
materials, advertising and other publications pertaining to the CWC Youth Volunteer Service Awards.
The decision of the judges is final. Nomination forms, photos and supplementary information become the property of Colleyville Woman’s Club and will not be returned.
In addition to the club’s awards, CWC may also announce selected individuals nominated by the organization to receive the President of the United States Youth Service Award, which includes a special pin and certificate signed by the current U.S. President.

Youth Volunteer Service Awards

Nomination Form
1. Nominee Section
Age as of Last day of September*
Gender
Grade*
Name*
First Middle Last
Date of Birth*
MM slash DD slash YYYY
Address*
Street Address City State ZIP / Postal Code
Phone*
Email*
Parent/Guardian Name
First Middle Last
Parent/Guardian Name
First Middle Last
Current School Attending*
School District*
School Principal*
Phone
School Address
Street Address City State / Province / Region ZIP / Postal Code
School Email
Student Photo Release Form
Upload student photo here
Max. file size: 512 MB.
High resolution photos preferred
As parent/guardian of the student named in this application, I hereby grant permission to Colleyville Woman’s club to use my child’s photograph for publicity purposes in promoting the Colleyville Woman’s Club Youth Volunteer Service Awards in its official publications, or in other promotion print and electronic publications without further consideration, and I acknowledge CWC’s right to crop or treat the photograph at its discretion. Should Colleyville Woman’s Club nominate my child for any award outside of its own organization, including those awards sponsored by the National Points of Light Foundation, Colleyville Area and Southlake Chamber of Commerce Youth of the Year Awards, or others, I hereby grant permission to Colleyville Woman’s Club to use my child’s photograph with its nominations. I therefore agree to indemnify and hold harmless from any claims the Colleyville Woman’s Club, its members and members of the Youth Recognition Service Awards committee.
Signature
Nominee must furnish two reference letters in addition to completed nominator section. Reference letters must include reference name, organization, title, address, phone & e-mail. References should NOT be a parent, guardian, self or relative. Limit letters to 250 words or less.

MAIL TO: CWC, Attn: Youth Recognition Chair, PO Box 181., Colleyville, TX 76034. EMail: youth@c-w-c.org
For information: 817.358.1805

Nominations may be submitted on this form or a facsimile thereof. Organizations and individuals may nominate any number of nominees.

NOMINATION DEADLINE: MUST BE POSTMARKED OR EMAILED BY THIRD FRIDAY IN FEBRUARY
1. Nominator Section Only - to be completed and signed by the person providing the nomination; the Nominator may also be parent or self
Nominator Name*
First Last
Title
Organization, if appropriate
Phone*
Email*
Address*
Street Address City State ZIP / Postal Code
Your nominee’s volunteer service must be performed between February 1st of last year to the last day in January (31).
Why are you nominating this individual for the CWC Youth Volunteer Service Award?*
Consider:
—The role the nominee played in initiating the activity;
—the impact of the nominee’s volunteer activity upon the quality of life in the community;
—any unusual problems or challenges the nominee overcame in his/her volunteer service.
Volunteer Service Activities
List Community Activities in which you have participated and note any major accomplishments. These should be activities that promote and better your school, city, individuals and/or community. All community service should be affiliated with a charitable, civic, school or non-profit organization or a specific individual need. Community service must be verifiable. (That means you must provide a contact that we can reach either in person or by phone that will verify your community service hours).
Month (Jan-Dec) Organization/Other # of Hours (Per Week, Month, etc.) Description of Service Sponsor Name, Title Phone Number Total Hours
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YOUTH VOLUNTEER SERVICE AWARDS

NOMINATION DEADLINE: Must be postmarked by Third Friday in February

Youth Volunteer Service Awards

Nomination Form

1. Nominee Section

Student Photo Release Form

1. Nominator Section Only - to be completed and signed by the person providing the nomination; the Nominator may also be parent or self

Your nominee’s volunteer service must be performed between February 1st of last year to the last day in January (31).

Gathering For Good

Enjoying Friendships

Supporting Our Community

Month (Jan-Dec)	Organization/Other	# of Hours (Per Week, Month, etc.)	Description of Service	Sponsor Name, Title	Phone Number	Total Hours