Youth Leader of the Year Award Nomination Form

Fill out the following form to nominate a young person between the ages of 16 and 25 for the Youth Leader of the Year Award.



1. Your Contact Information
Your Full Name
Title
Organization/Company
Phone
Email
2. Nominee Information
Nominee Full Name
Email
Address
City, State, Zip ,
School
Organizations/Activities
Why are you nominating this person for the Youth Leader of the Year Award?
After you submit your nomination form, please mail any supporting documents to NLLC Excellence in Leadership Awards, 28 Allegheny Avenue, Suite 503, Baltimore, MD 21204.



Deadline: September 30