Youth of the Month Nomination Form The Youth of the Month award is an honour presented to a youth who is either a resident of or student in Beaumont between the ages of 12 & 18. Anyone is invited to nominate a youth for recognition. Nominations will be ongoing and could be used to recognize a youth in future months.
Please complete the following information and attach one to two paragraphs’ explaining how your nominee is simply an amazing youth. They could be a conscientious citizen, dependable, creative, kind or responsible. Chantal made sure to let young people know what they were doing right and how their contributions to our community made a difference. We want to keep that tradition alive in her honour and need your help. Tell us about your fantastic babysitter, reliable employee or dedicated volunteer. If your nominee is selected, both of you will be contacted to make arrangements for the award to be presented at the Chantal Bérubé Youth Centre. Each year a Youth of the Year will also be chosen from the yearly award recipients. Please include as much detail as possible to ensure that the profile of your nominee is complete Please DO NOT forget to attach your letter (one – two paragraphs) This form MUST be signed by the nominator Drop off your form at the CBYC or email to sarah.fodchuk@town.beaumont.ab.ca
I would like to nominate the following person for Beaumont’s Youth of the Month award in memoriam of Chantal Bérubé. Name : ______________________________________________________________________________ Age: _________ School they attend: _____________________________________________________ Phone number: _______________________ Email address: ___________________________________ One sentence describing why you are nominating this person: _______________________________
_____________________________________________________________________________ _____________________________________________________________________________ _________________________________________ (please provide more detail in your attached letter) Nominator’s name: _________________________________ Phone number: _____________________ Nominator’s email address: ______________________________ Signature: ______________________
The personal information contained on this form is being collected in order to select Youth of the Month on behalf of FCSS and BCYC. It is protected by the privacy provision of the FOIP Act. If you have any questions about the collection, contact the FOIP Coordinator at the Town of Beaumont, 5600 - 49 Street, telephone 780-929-8782.