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Director of Juvenile Services
Jana D. Carter 

Substance Abuse Prevention Specialist 
Kelly Mathis 

Administrative Secretary
Patty Glazier 

Phone Numbers
(804) 796-7100
(804) 748-1099 (Fax)

Contact Us 


Hours
8:30 a.m. - 5 p.m.
Monday - Friday

Mailing Address
Chesterfield County Youth Planning and Development
P.O. Box 40
Chesterfield, VA 23832

Street Address
9700 Krause Road
Chesterfield, VA 23832Map this 

 
Youth Awards - Youth Nomination Form

35th Annual Chesterfield County Youth Awards - Youth Nomination Form

The Outstanding Youth Awards is an event that celebrates youth and adults who have demonstrated an exemplary commitment to their communities, neighborhoods or schools.  

Criteria for Youth Nominees

  • Must be a resident of Chesterfield County
  • Must be between the ages of 12 and 18
  • Must be a young person who would not receive honors or recognition except through the Youth Awards Program.
  • Must have demonstrated one or more of the following:
    • Courage entails overcoming an obstacle in order to help others. Courage may be interpreted in many ways, including a rescue, an act of bravery or heroism, or overcoming a personal challenge. It is understood that there are many forms of courage, but all must be directed to ultimately benefit others as well as self.
    • Compassion comprises both the understanding of people's problems and needs, and extending oneself to address these concerns.
    • Community/School Service is applying effort and time in service to others for no apparent personal gain.
    • Leadership is the act of giving direction, inspiration and guidance to people toward the achievement of a mutual objective. Leaders do not attempt to work by themselves; rather, they create an environment in which the entire group is able to make contributions and work freely to complete their shared goal.
     

Nomination Deadline: Friday, February 23rd at 5 p.m.
* Designates a required field
 


Youth Nominee (must be between the ages of 12 and 18)

*Last Name  
*First Name  
*Phone (primary)  
Phone (alternate)  
*Street Address  
*City  
State  
Zip Code  
E-mail  
*School  
*Age  

Nominator 

*Last Name  
*First Name  
*Phone (primary)  
Phone (alternate)  
Organization  
*Street Address  
*City  
State  
Zip  
E-mail  

*Relationship to nominee  


Nominations for the Chesterfield County Outstanding Youth Awards are based on Courage, Compassion, Service and Leadership.  

Please choose ONE category to nominate the youth using up to 1200 characters, giving specific examples with details to support the nomination. Describe the reason you are nominating this young person, why the nominee is deserving of the recognition and how have the actions of this young person benefited and impacted others. 

Choose ONE category 

         

Description (up to 1200 characters)
 

Please use up to 300 characters to add additional information that you feel will assist the committee in evaluating your nominee.

Additional Information (up to 300 characters)
 

Please review your form, then submit. Your nomination will be evaluated.