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  • Rotary Young Citizen Awards Nomination Form 2025/6

  • Please read the Rotary Young Citizen Awards Information Pack before completing this form (the Information Pack can be found here).

    By submitting this form, you confirm you have read, understood and agreed to the contents of the Rotary Young Citizen Awards Information Pack and Privacy Notice.  

    Important Notice: Please note that any photographic images of people under 18 years old must be accompanied by written permission from the parent, guardian or carer of that person(s) as set out on the last page of the Information Pack for this competition. The consent form should be uploaded with any documentation to support the application.

     

    Notice: A downloadable copy of the nomination form can be found here. Please complete and return by the 31st March 2026 to be included in the 2025/6 nominations. 

  • Nominations For (please select)

  • Awards*
  • Individual or Group Nomination (Please select)*
  • If the nomination is for a group of young people, then a separate nomination form needs to be completed for each nominee and signed by a Parent/Guardian, whilst the continuity sheet with supporting information only needs to be submitted once for the entire group.

  • Details of your Nominee

  • Nominee Contact details

  •  -
  • Nominated By

  •  -
  • Nominated Because ....

  • Please explain (briefly) why you have made this nomination. Include any information on the nominated person/group which demonstrates evidence of ‘good citizenship’ related to this nomination. The nomination should be associated with a current project, initiative or activity demonstrating good citizenship and should state how the young people are actively involved in it.

    Information can include endorsements/statements from the young people’s school or from organisations or people who have benefitted from their help, charity numbers, schemes which are up and running and speaking to those involved. Also obtaining statistics, financial figures if relevant, etc. The nominee can also produce a video of his/her work/project as part of the application, use of a mobile phone is acceptable. 

  • Please attach any photographs, newspaper articles, etc. that usefully support the nomination but don’t rely on newspaper items as the only evidence of work done by the nominee. 

    The parental consent form from the information pack should be included with any uploads where required.

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