Young Citizens Award Nomination Form
A program of the Central Bucks Chamber of Commerce
Volpe and Koenig, P.C.
The Young Citizens Awards recognize citizens (20 years or younger) who have been nominated by
the community for demonstration of exceptional commitment to the principles of good citizenship and community involvement. It is important that the reasons for the nomination are clearly stated in the information presented by the nominator.
Deadline: October 23, 2015. Nomination Forms can be accepted via email:
amanda@centralbuckschamber.com
Awards will be presented Friday, November13, at a luncheon at:
The Warrington Country Club, 1360 Almshouse Road, Warrington
Date of Nomination:
Name of Person Nominated:
Category: (Please focus your selection to the most appropriate category)
□
Outstanding commitment to Principle & Service
□ Act of Courage
□ Extraordinary Display of Character
□ Unique Personal Achievement
□ Unusual Service to A Person in Need
□ Exceptional Community Service
What school does the nominee attend?
School District:
Grade:
Age:
Email
Address:
Telephone:
Person Nominating the Candidate:
Relationship to Candidate:
Nominator’s Email Address, Address & Telephone:
Nominators are asked to limit their nominations to two outstanding candidates. Nominator should clearly detail the reasons for the nomination, along with the reason the applicant fits into the selected
category. The nomination forms will be reviewed by a jury of select members of the Chamber’s Business & Youth Committee.
Please attach typed or PRINTED information detailing all of the reasons the candidate should be honored as an outstanding Young Citizen. Be specific and list ALL details of exceptional service and activities that support the nomination. Please include any substantiating information, such as letters and press clippings.
About the Sponsor
Founded in 1987, Volpe and Koenig, P.C. is a full service boutique intellectual property law firm. With over 50 attorneys, patent agents and technical advisors, Volpe and Koenig, P.C. specializes in all areas of technology and serves a diverse roster of U.S. and global clients.
