NOMINATION FORM FOR YOUTH COURAGE of CONSCIENCE COMMENDATION
Thank you for encouraging a child's good works! Please complete this form to nominate a child, aged 5 to 12, whom you would like to encourage and validate as a young peacemaker. The YOUTH COURAGE of CONSCIENCE COMMENDATION acknowledges that this young person has been walking in the footsteps of extraordinary peacemakers and humanitarians, many of whom have been recipients of The Peace Abbey International Courage of Conscience Award. The laminated Commendation Certificate will be mailed to the young peacemaker or the person making the nomination within two weeks of receipt of this form. - The Peace Abbey Foundation
Nominee's Name
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First Name
Last Name
Nominee's Age and Service
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Age (5-12)
Area of service (community service, environmental, peace and social justice, animal rights, kindness, caring, positive attitude, etc.)
Reason For Nomination
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Explain why your nominee deserves to be honored. 40 WORD limit to fit on certificate.
Nominee's Address (if the certificate is to be sent directly to recipient).
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Your Name
*
First Name
Last Name
Your E-mail Address
*
example@example.com
Your Phone Number
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Area Code
Phone Number
Your Address (if you will be receiving the certificate to make the presentation yourself).
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
To Make Gentle the Life of the World
Send Nomination
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