2020 Award Nomination Form

2020 Nomination Entry

The nominated student must meet (ALL) of the following requirements:

1. Student is between 7 and 17 years of age

2. The person nominating is 21 years or older

3. Nominee will be present at the VIRTUAL Award Ceremony

4. Application must be received by October 7th, 2020

IMPORTANT: Please confirm that the nominated student meets (ALL) of the above requirements? *

Yes to all of the above requirements

1. AWARD CATEGORIES

You may nominate (ONE) student per entry for one specified award category *

The A.R. Bernard Change Agent Award (Servant Leadership) The George Stephenson Innovator's Award (Innovation) The Sally Nyaboke Resilience Award (Resilience) The Outstanding Youth Leadership Award (Passion) The Global C.S. Lewis Fine Arts Award (Creative Expression) The Rising Carson Wentz Student Athlete Award (Best Male Athlete) The Rising Allyson Felix Student Athlete Award (Best Female Athlete) JosiahKids Courage Story of The Year Award (Strength)

Use this link to learn more about each award category. https://www.josiahkids.com/awards

2. Nominee Information

Nominee's Name *

First Name Last Name

Nominee's Age *

What School Does Nominee Attend *

please include city and state

Nominee's Legal Guardian's Name *

First Name Last Name

Nominee's Legal Guardian's E-mail Address *

example@josiahkids.com

Nominee's Legal Guardian's Home Address *

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code Country

In your best words, tell us about the student you are nominating. Why have you chosen to nominate this student? Include clear examples specific to the category *

A compelling nomination will increase a students' chances of winning the award. Remember the category description explains what the voting committee will be looking for

If your nomination is selected, a two (2) minute video may be required on the student's accomplishments for the Annual Award Ceremony. *

Please note whether still images (pictures) and/or short video clips of the student and his/her accomplishments would be available if requested (from the parents or legal guardians) of the nominee

3. Your Information

Your Name *

First Name Last Name

Phone Number *

Area Code Phone Number

Your Email Address *

Your relationship to the student you have nominated *

Your Address *

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code Country

Every year, we are delighted to honor exceptional students who are dedicated to leadership, innovation, service, athletics, resilience and various genres of the arts at our Annual Student Award Ceremony--The Buford Harvest. Due to COVID-19, this year, our annual award ceremony will take place on Saturday, November 14, 2020 - Virtually (and not at our originally planned Legacy Theater in Alpharetta, Georgia). The keynote speaker, Adam May, from GOOGLE will speak to the students. We have cancelled dinner, dancing, and the live DJ, unfortunately, and have moved the time up (to accommodate our international students). See our website for more information: www.josiahkids.com

IMPORTANT NOTE: Due to the complications of COVID-19, the call has been made to hold this ceremony virtually.

JosiahKids Inc. is a 501(c)(3) nonprofit organization with a mission to educate, empower and equip young students and TEENS in the local community in the areas of faith, leadership, community service and the arts.

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