Valley Outreach

“Respect for Youth” Award

Nominations due March 5, 2010

Award for a group/ organization or class that creates an environment of respect for all youth who participate: one in which all feel safe and valued for who they are; all feel they have useful contributions to make and feel a sense of belonging; and one which tolerates no bullying or harassment among any of its members. The award will be announced at the Valley Outreach After-Hours March 24, 2010. The selection committee will be made up of a panel representing youth, business, non-profit agencies, education, and parents.

Please send your nomination form to Suzette Indelicato, Executive Director of Starting Point PO BOX 1972, CONWAY, NH 03818, e-mailed to edirector@startingpointnh.org, or by fax (603) 452-5302.

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Name of Nominator: ______________________________________________________

Address: ______________________________________________________________

Phone number: _________________________________________________________

How does nominator know this group/class and for how long: ___________________

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Name of Class/Group being nominated: ______________________________________

Advisor/Teacher or Chair of Group:    _______________________________________

Address: ______________________________________________________________

Phone number: _________________________________________________________

Please describe in detail why this nominee deserves this award ( feel free to use back page or separate sheet for your explanation)

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