BGC Kawarthas Form

This form will submit for the Youth Awards. Children and youth between the ages of 12-24 will be nominated by someone or themselves, and they have the opportunity to have their story told to our massive audience at our award ceremony this June, and be told online to our thousands of followers. Even if the nominee doesn't win, we believe everyone deserves their voice to be heard, and if nominated, they will be.

This form is due by March 21, 2025.

You have the right to nominate anyone with strong ties to the City of Kawartha Lakes, including yourself if you fit the age range. Having prior or current ties to BGC Kawarthas is not required, except for the BGC Club Spirit Award.

For every category, individuals or groups may be nominated.

Parts 2-4 can be filled out by anyone, but Parts 5-6 require the attention of the nominee (and their parent or guardian if they are under 18 years of age).

A photo of the nominee is also required. The photo of the nominee may be displayed in our brochures and presentations. Please send photo(s) to nominations@bgckawarthas.com

Part 1: Let's Get Started!

This first part will ask for your contact information and what you would like to put in a nomination for.

Nominator's Name*

First NameLast Name

Nominator's Email*

Nominator's Phone Number

Who are you nominating? (This is usually one person but can be a group)*

What is their age division?*

Age 12-17Age 18-24

Which award are you nominating them for? (Note: If you want to nominate them for more than one award (the maximum per person is two), all you have to do is fill out a separate form for each category you want) Scroll down to read the descriptions of each award.*

Arts Achievement Award

The recipient of this aware has demonstrated originality and passion in creating, promoting or celebrating art. The art category is broad and includes visual art, music, theatre, dance, film, literature, artisan crafts and digital media. Creating art can include the design and production of original work, and promoting and celebrating art could include marketing, organizing gatherings or promoting the art of others.

BGC Club Spirit Award

(This particular award can only be given to someone currently or previously involved with BGC Kawarthas.) The recipient of this award demonstrates the Club's core values, such as Belonging, Respect, Encouragement & Support, Working Together, and Speaking Out. Celebrating the BGC Club's Model For Success, the award reflects the strength of spirit a youth has gained with their positive contribution.

Outstanding Worker Award

The recipient of this award may be self-employed, a co-op student, paid or unpaid volunteer, or a paid employee. They are recognized for qualities that make them a strong team player in a workplace: positive attitude, reliability, willingness to learn, strong work ethic and commitment to making a difference. They are consistent performers who routinely go above and beyond expectations.

Humanitarian Award

The recipient of this award has shown courage and conviction by standing up for, and speaking out, in support of their beliefs. A Humanitarian through and through, they’ve translated those convictions into action while showing respect and dignity towards others. Whether they fight for social justice issues, sustainability of the planet, equality and inclusion, or simply help others, they do so with passion. This award may be for an individual, or a group.

STEM Award

The recipient of this award has demonstrated a strong interest in, and achievement in Science, Technology, Engineering or Mathematics (STEM). They exhibit some of the qualities of a scientist: curiosity, interest in discovery, innovation and experimentation. They enjoy finding collaborative solutions to problems using critical and analytical thinking. Their achievements may be academic, in club or community initiatives, or through entrepreneurial ventures.

Health and Wellness Champion Award

The recipient of this award has demonstrated mindfulness, a commitment to health and wellness, and understands the value of being active for life. Award recipients exhibit leadership in promoting physical literacy by actively participating in or organizing wellness initiatives, sports, fitness programs, or health awareness campaigns. Their positive influence motivates others to adopt lifelong habits that contribute to a healthier, more active lifestyle.

Leadership Award

The recipient of this award understands themselves, their goals and vision. They are able to harness various strengths, approaches, and skills in order to influence, interact and communicate with others. This individual has demonstrated the ability to motivate a group of people to achieve a common goal together.

Resiliency Award

The recipient of this award has shown an ability to overcome obstacles, persevere when problems arise and to bounce back from adversity. They have faced challenges, delays and opposition on the road to success. They haven’t just survived, they have thrived.

Are you also nominating this person for the Ron Kennedy Scholarship? This nominee would have to be transitioning to post-secondary education or training within the next 12 months, at the time of filling this form out.

Ron Kennedy exemplified all the qualities represented by our eight award categories. This scholarship, established by the family of our founder, Ron Kennedy, will be awarded to one individual from our full slate of nominees.

If you check yes, you will be contacted about filling out an additional form for the scholarship nomination.

Ron Kennedy Scholarship

Yes

Are you also nominating this person for the Marcie Beall Scholarship?

This scholarship is to be awarded to an applicant who is between the ages of 17-24 and who will use the scholarship to assist in future educational or career advancement (University, College, trade apprenticeship, or other form of training). Applicants must have had previous or current involvement with BGC as a program participant, member, employee, volunteer, etc. This scholarship has an $800 value.

If you check yes, you will be contacted about filling out an additional form, or submitting a video or audio project for the scholarship nomination.

Marcie Beall Scholarship

Yes

Part 2: Nominee Contact Information

Please make sure contact information is accurate or have the nominee fill out this section. If the nominee does not have a personal email or phone number, put the number and/or email of a parent or guardian.

Nominee's Name:*

First NameLast Name

Nominee's Age or Date of Birth:*

Nominee's City/Town:*

Nominee's Telephone:

Nominee's Email:

Parent or Guardian Name (IF NOMINEE YOUNGER THAN 16) If you fill this out, please fill out the next two.

Phone Number of Parent or Guardian:

Email of Parent or Guardian:

Part 3: Why Should The Award Go To Them?

Fill out a statement of nomination (minimum of 200 words, maximum 1000) describing why the individual would be deserving of this award. You can also email or mail a separate document for this part. If hand-written, your writing must be legible. If you mail it, send it to 107 Lindsay St. S, Lindsay. Postal code K9V 2M5. If you email it, send to nominations@bgckawarthas.com

If you wish to get approval by your nominee for this content before submitting (but this is not required), check the box that you will be submitting this content in a separate document.

I will send the statement of nomination in a separate document, via mail or email.

Yes

Your statement of nomination should provide concrete examples of actions the candidate has taken to be worthy of this award. We welcome any details you can provide. (Example: Write about how they "organized a street clean-up event which involved 50 volunteers who diverted 9 bags of trash from the environment" rather than just "planned a street clean-up in our neighbourhood".)

Your Statement of Nomination:

Part 4: References

Provide at least two references who can attest to the information in your form. Only one can be a family member. If you do not know the contact information for your reference, please reach out to them. The phone number and email are allowed to be a parent's or guardian's if the reference doesn't have one (for instance, if a reference was a 12-year-old friend who doesn't have a phone or email yet). The information must be up to date.

Reference 1

Name of Reference 1:*

First NameLast Name

Email of Reference 1:*

Phone Number of Reference 1:

Reference 2

Name of Reference 2:

First NameLast Name

Email of Reference 2:

Phone Number of Reference 2:

Reference 3 (Optional)

Name of Reference 3:

First NameLast Name

Email of Reference 3:

Phone Number of Reference 3:

Part 5: Media Consent Disclosure

This page needs to be completed so BGC Kawarthas can photograph the nominee at the event.

Media Consent Form:

I acknowledge and agree that my Child may participate in an event or activity at, or operated by, the BGC Kawarthas and/or BGC Canada, or both, at which photographs, video(s), audio or similar or other recordings of Club members, including of my Child (hereinafter referred to as a “Personal Likeness”), maybe taken for the purpose of representing the BGC Kawarthas and/or Canada on or for promotional and other materials and advertising.

I hereby give the BGC Kawarthas and/or the BGC Canada consent to use, disclose and reproduce my Child's Personal Likeness for promotional, marketing, fundraising and advertising purposes.

I acknowledge and agree that my Child’s Personal Likeness may be published or reproduced in newsprint, promotional videos, television commercials, program brochures, posters, the Internet or otherwise displayed to the public or used for other promotional, educational and/ or fundraising purposes, in whole or in part, by the BGC Kawarthas, BGC Canada and/or external partners thereof.

Signature of Parent or Guardian if nominee is a minor:

Part 6: To Be Completed by the Nominee

The contact information is correct.

Yes

I have been placed in the correct age category.

Yes

I understand that BGC Kawarthas will share details from my statement of nomination, and hereby consent. I have read the attached media and promotional disclosure consent form (Part 5 of this form).

Yes

I understand that I can only allow my name to stand in two categories (plus, if applicable, the Ron Kennedy Scholarship)

Yes

Signature of Nominee:

Signature of Parent or Guardian of Nominee if Nominee is a Minor:

If you wish to submit supporting materials (links to your work, article, other recognition) you may send it to nominations@bgckawarthas.com

So What Now?

After you press Submit down below, committees will be reading collected forms and will determine three finalists for each award. A minimum of two references must be reached. Scoring from the reference checks will be used to determine the final winner.

Two other forms will be required to finalize the nomination, a media consent form and a nominee consent form. The media consent form requires either the nominee or the nominee's parent(s) or guardian(s) if the nominee is a minor. The nominee consent form requires the nominee.

Nominators will be informed whether their nominee is a finalist. All finalists will be invited to and mentioned at the recognition event. The winner will be revealed at the event.

A photo of the nominee is required. You and/or the nominee may be contacted about sending a photo of themselves to nominations@bgckawarthas.com

The deadline for these forms is March 21st, 2025. If you would like to fill out an additional form, submit this one, and then start the next!

BGC Kawarthas Youth Awards 2025 Form