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Georgia Youth Leadership Awards Nomination

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Georgia Youth Leadership Awards
Georgia Youth Leadership Awards Nomination

Nominate a 21CL Student!

The nomination window for 2025 awards is from October 1st – November 15th, 2024.

Reminder: For a student to be eligible for nomination they must be involved in 21st Century Leaders’ programs and must complete Level 1 in Leadership Connect by the nomination deadline to be considered.

Sample Nomination

Georgia Youth Leadership Awards Nomination (2025)

The 21CL Georgia Youth Leadership Awards nomination form for honoring the leadership achievements of 21st Century Leaders' students. Only ONE nomination is required for the student to be considered.

Step 1 of 2

50%

DISCLAIMER
The student being nominated must be affiliated with 21st Century Leaders as a student in our program either through the summer leadership institutes, 21CLubs, school-year events, or Leadership Connect. If you're unsure, please email desiree@21stcenturyleaders.org before beginning your nomination.
NOMINATOR INFORMATION
We look forward to hearing about the student and their accomplishments, but let's start with some information about you, the nominator!
Students may either be nominated by any non-relative or may self-nominate. Please indicate whether you are nominating another person or nominating yourself.*
- I am nominating myself.
- I am nominating someone else.
Great! Thanks for taking the time to nominate a 21st Century Leaders student. Please confirm you are NOT the student nominee's parent, guardian or direct relative.*
- CONFIRM
Nominator Name*
First Last
Nominator Email*
Enter Email Confirm Email

We may contact you for additional information or details about the nominee's accomplishment.
Nominator Phone*
Nominator's organization, school or business:*
Your Job Title/Position*
Nominator's relationship to student nominee*
- Mentor
- Teacher/School Employee
- Nonprofit Representative
- Co-worker/Boss
- Peer
Please select all that apply
How long have you known the student nominee and in what capacity?*
STUDENT NOMINEE INFORMATION
Okay, let's find out about the 21st Century Leader being nominated! Please provide the following contact information for the Georgia high school student being nominated. *If you are self-nominating you will be asked to provide a reference to who can verify your nomination.
Please confirm the student nominee is a student in the 21st Century Leaders program AND has not previously received a Georgia Youth Leadership Award.*
- CONFIRM
If they are not a current 21st Century Leaders' student, they will not be eligible for a nomination.
If selected to receive a Georgia Youth Leadership Award, the student must be able to attend the awards event on March 15, 2025 in the evening. Please confirm that your student nominee is committed to attending the awards event as an honored guest, if selected.*
- CONFIRM
Student's Name*
First Last
Student's Email*
What GA high school does the student attend? (please click on the drop down box to select)*
Student nominee must be a high school student in the state of Georgia. No exceptions. There is an option for homeschool. If your nominee's school is not listed, select OTHER at the bottom and type the name of the school in the box below.
Other High School
What grade is the nominee currently in?*
Student must be a current high school student.
What GA County does the student live in?*
Student must live in Georgia. No exceptions.
Name of Student's Parent/Guardian*
First Last
Parent/Guardian Email*
Parent/Guardian Phone

Save and Continue Later

WHAT MAKES YOUR 21CL STUDENT AN OUTSTANDING LEADER?
Now it's time for the good stuff! Tell us more about the student's leadership qualities, skills, project(s), and why you think they should be one of this year's top 21 outstanding Georgia youth leaders! This is your time to highlight the student and tell their story, giving them the best representation possible. Please be as detailed as possible by including QUALITATIVE and QUANTITATIVE information. This is a highly competitive process, so the more information you provide for the review committee, the better. What you include in the nomination is the only information about the student's achievements they have, so please be generous with your details.
Please provide an overview of your nominee. Let this be an introduction to the selection committee of why this student should be considered for the Georgia Youth Leadership Awards. Using details or examples of action or character, describe the nominee’s traits that would compel others to view them as a role model in their community.*
Which of the following 21CL leadership values does the nominee demonstrate? Select all that apply.*
- Forward-Thinking
- Passionate
- Leverages Diversity
- Resourcefulness
- Service-Oriented
What category best describes the nominee's achievement?*
Select all that apply.
- Business, Organization, or Club Founder
- Overall Leadership and/or Outstanding Volunteer
- Special Project or Initiative
- Civic Engagement/Advocacy
Describe the student nominee's business, club or organization. Include details like when they founded or got involved in it and why, how many people are involved or served, revenue or reach, growth, frequency of meetings, etc.*
Please include numbers!
Describe the student's "overall leadership or outstanding volunteerism." List the roles and involvement, the impact made, and/or what makes the student's actions impressive? Please include numbers and details like scope of people involved, fundraising results, growth/expansion achieved, etc.*
Describe the student's special project or initiative. Include details like when they started it and why, how many people are involved, revenue and/or reach, overall impact, how much time they committed to said project/initiative.*
PLEASE INCLUDE NUMBERS!
Describe the student's civic engagement or advocacy. Include details like when the involvement began and why, how many people are involved or reached, any revenue, overall impact, how much time is committed to this engagement, etc..*
PLEASE INCLUDE NUMBERS!
Who or what has been directly impacted as a result of the nominee’s accomplishment(s) or contribution(s)?*
Please be as detailed as possible and include anecdotes and numerical data if applicable.
Does the student do volunteer work?*
- Yes
- No
- Not sure
Describe the student's volunteer commitment and scope of service. With whom do they volunteer? Please include details like how long they have been involved, any unique initiatives taken as a volunteer, fundraising or campaign achievement, before and after, etc.?*
If you selected "not sure", you may save your progress and return with more research, or we may contact you for additional details after submission.
How does the nominee plan to continue their impact through high school and beyond?*
How has 21st Century Leaders impacted the nominee and the accomplishment(s) you are nominating them for? How has the nominee demonstrated inclusion and belonging, leadership development, and/or career readiness for themselves or others?*
WHAT MAKES YOU AN OUTSTANDING 21ST CENTURY LEADER?
Now it's time for the good stuff! Tell us more about your leadership qualities, skills, project(s), and why you believe you should be one of this year's top 21 outstanding Georgia youth leaders! This is your time to highlight your impact and tell your story, giving yourself the best representation possible. Please be as detailed as possible by including qualitative and quantitative information. This is a highly competitive process, so the more information you provide for the review committee, the better. What you include in the nomination is the only information about your achievements they have, so please give them details.
Please provide an overview of yourself. Let this be an introduction to the selection committee of why you should be considered for the Georgia Youth Leadership Awards. Using details or examples of action or character, describe your traits that would compel others to view you as a role model in your community.*
Which of the following 21CL leadership values do you, the nominee, demonstrate? Select all that apply.*
- Forward-Thinking
- Passionate
- Leverages Diversity
- Resourcefulness
- Service-Oriented
What category best describes your achievement?*
- Business, Organization, or Club Founder
- Overall Leadership and/or Outstanding Volunteer
- Special Project or Initiative
- Civic Engagement/Advocacy
Describe your business, club or organization. Include details like when you founded or got involved in it and why, how many people are involved or served, revenue or reach, growth, frequency of meetings, etc.*
Please include numbers!
Describe your "overall leadership or outstanding volunteerism." List the roles and involvement, the impact made, and/or what makes the student's actions impressive? Please include numbers and details like scope of people involved, fundraising results, growth/expansion achieved, etc.*
Describe your special project or initiative. Include details like when you began it and why, how many people are involved, revenue and/or reach, overall impact, how much time has been committed to said project/initiative.*
PLEASE INCLUDE NUMBERS!
Describe your civic engagement or advocacy. Include details like when the involvement began and why, how many people are involved or reached, any revenue, overall impact, how much time is committed to this engagement, etc..*
PLEASE INCLUDE NUMBERS!
Who or what has been directly impacted as a result of your accomplishment(s) or contribution(s)?*
Please be as detailed as possible and include anecdotes or numerical data if applicable.
Do you do volunteer work?*
- Yes
- No
- Not sure
Describe your volunteer commitment and scope of service. With whom do you volunteer? Please include details like how long you have been involved, any unique initiatives taken as a volunteer, fundraising or campaign achievement, before and after, etc.?*
How do you plan to continue your impact through high school and beyond?*
How has 21st Century Leaders impacted you and the accomplishment(s) you are nominating yourself for? How have you demonstrated inclusion and belonging, leadership development and/or career readiness for yourself or others?*
Additional Information
While it's not required, you are welcome to submit additional information to support this nomination, including a website, videos, articles, pictures or other leadership roles, accolades, and recognition.
Optional: Please share other comments or list other leadership activities, roles, clubs related to this nomination.
Website of student's project/initiative (if applicable)
Attach File/Video/Pictures (optional)
Drop files here or

Max. file size: 256 MB.
Verification
If you are nominating yourself, please provide the name and contact information of ONE reference who can verify the accuracy and truth of your nomination. This person cannot be a relative.
Reference Name*
First Last
Reference Email*
Reference Phone*
Reference's relationship to nominee*
- Mentor
- Teacher/School Employee
- Nonprofit Representative
- Co-worker/Boss
- Peer
Please select all that apply
Nominees are required to complete Level 1 in Leadership Connect by November 1st in order to be considered. Would you like us to notify your nominee with a reminder about this requirement?
- Yes
- No
- I'm not sure
Nominees are required to complete Level 1 in Leadership Connect by November 1st in order to be considered. Please acknowledge below that you understand this eligibility requirement.
- Yes, I acknowledge and will complete Level 1 by November 1st if I have not already done so.
If you have questions about your access to Leadership Connect, please email lc@21stcenturyleaders.org

Save and Continue Later

Δ

The 21CL Georgia Youth Leadership Awards nomination form for honoring the leadership achievements of 21st Century Leaders' students. Only ONE nomination is required for the student to be considered.

Step 1 of 2

50%

DISCLAIMER
The student being nominated must be affiliated with 21st Century Leaders as a student in our program either through the summer leadership institutes, 21CLubs, school-year events, or Leadership Connect. If you're unsure, please email desiree@21stcenturyleaders.org before beginning your nomination.
NOMINATOR INFORMATION
We look forward to hearing about the student and their accomplishments, but let's start with some information about you, the nominator!
Students may either be nominated by any non-relative or may self-nominate. Please indicate whether you are nominating another person or nominating yourself.*
- I am nominating myself.
- I am nominating someone else.
Great! Thanks for taking the time to nominate a 21st Century Leaders student. Please confirm you are NOT the student nominee's parent, guardian or direct relative.*
- CONFIRM
Nominator Name*
First Last
Nominator Email*
Enter Email Confirm Email

We may contact you for additional information or details about the nominee's accomplishment.
Nominator Phone*
Nominator's organization, school or business:*
Your Job Title/Position*
Nominator's relationship to student nominee*
- Mentor
- Teacher/School Employee
- Nonprofit Representative
- Co-worker/Boss
- Peer
Please select all that apply
How long have you known the student nominee and in what capacity?*
STUDENT NOMINEE INFORMATION
Okay, let's find out about the 21st Century Leader being nominated! Please provide the following contact information for the Georgia high school student being nominated. *If you are self-nominating you will be asked to provide a reference to who can verify your nomination.
Please confirm the student nominee is a student in the 21st Century Leaders program AND has not previously received a Georgia Youth Leadership Award.*
- CONFIRM
If they are not a current 21st Century Leaders' student, they will not be eligible for a nomination.
If selected to receive a Georgia Youth Leadership Award, the student must be able to attend the awards event on March 15, 2025 in the evening. Please confirm that your student nominee is committed to attending the awards event as an honored guest, if selected.*
- CONFIRM
Student's Name*
First Last
Student's Email*
What GA high school does the student attend? (please click on the drop down box to select)*
Student nominee must be a high school student in the state of Georgia. No exceptions. There is an option for homeschool. If your nominee's school is not listed, select OTHER at the bottom and type the name of the school in the box below.
Other High School
What grade is the nominee currently in?*
Student must be a current high school student.
What GA County does the student live in?*
Student must live in Georgia. No exceptions.
Name of Student's Parent/Guardian*
First Last
Parent/Guardian Email*
Parent/Guardian Phone

Save and Continue Later

WHAT MAKES YOUR 21CL STUDENT AN OUTSTANDING LEADER?
Now it's time for the good stuff! Tell us more about the student's leadership qualities, skills, project(s), and why you think they should be one of this year's top 21 outstanding Georgia youth leaders! This is your time to highlight the student and tell their story, giving them the best representation possible. Please be as detailed as possible by including QUALITATIVE and QUANTITATIVE information. This is a highly competitive process, so the more information you provide for the review committee, the better. What you include in the nomination is the only information about the student's achievements they have, so please be generous with your details.
Please provide an overview of your nominee. Let this be an introduction to the selection committee of why this student should be considered for the Georgia Youth Leadership Awards. Using details or examples of action or character, describe the nominee’s traits that would compel others to view them as a role model in their community.*
Which of the following 21CL leadership values does the nominee demonstrate? Select all that apply.*
- Forward-Thinking
- Passionate
- Leverages Diversity
- Resourcefulness
- Service-Oriented
What category best describes the nominee's achievement?*
Select all that apply.
- Business, Organization, or Club Founder
- Overall Leadership and/or Outstanding Volunteer
- Special Project or Initiative
- Civic Engagement/Advocacy
Describe the student nominee's business, club or organization. Include details like when they founded or got involved in it and why, how many people are involved or served, revenue or reach, growth, frequency of meetings, etc.*
Please include numbers!
Describe the student's "overall leadership or outstanding volunteerism." List the roles and involvement, the impact made, and/or what makes the student's actions impressive? Please include numbers and details like scope of people involved, fundraising results, growth/expansion achieved, etc.*
Describe the student's special project or initiative. Include details like when they started it and why, how many people are involved, revenue and/or reach, overall impact, how much time they committed to said project/initiative.*
PLEASE INCLUDE NUMBERS!
Describe the student's civic engagement or advocacy. Include details like when the involvement began and why, how many people are involved or reached, any revenue, overall impact, how much time is committed to this engagement, etc..*
PLEASE INCLUDE NUMBERS!
Who or what has been directly impacted as a result of the nominee’s accomplishment(s) or contribution(s)?*
Please be as detailed as possible and include anecdotes and numerical data if applicable.
Does the student do volunteer work?*
- Yes
- No
- Not sure
Describe the student's volunteer commitment and scope of service. With whom do they volunteer? Please include details like how long they have been involved, any unique initiatives taken as a volunteer, fundraising or campaign achievement, before and after, etc.?*
If you selected "not sure", you may save your progress and return with more research, or we may contact you for additional details after submission.
How does the nominee plan to continue their impact through high school and beyond?*
How has 21st Century Leaders impacted the nominee and the accomplishment(s) you are nominating them for? How has the nominee demonstrated inclusion and belonging, leadership development, and/or career readiness for themselves or others?*
WHAT MAKES YOU AN OUTSTANDING 21ST CENTURY LEADER?
Now it's time for the good stuff! Tell us more about your leadership qualities, skills, project(s), and why you believe you should be one of this year's top 21 outstanding Georgia youth leaders! This is your time to highlight your impact and tell your story, giving yourself the best representation possible. Please be as detailed as possible by including qualitative and quantitative information. This is a highly competitive process, so the more information you provide for the review committee, the better. What you include in the nomination is the only information about your achievements they have, so please give them details.
Please provide an overview of yourself. Let this be an introduction to the selection committee of why you should be considered for the Georgia Youth Leadership Awards. Using details or examples of action or character, describe your traits that would compel others to view you as a role model in your community.*
Which of the following 21CL leadership values do you, the nominee, demonstrate? Select all that apply.*
- Forward-Thinking
- Passionate
- Leverages Diversity
- Resourcefulness
- Service-Oriented
What category best describes your achievement?*
- Business, Organization, or Club Founder
- Overall Leadership and/or Outstanding Volunteer
- Special Project or Initiative
- Civic Engagement/Advocacy
Describe your business, club or organization. Include details like when you founded or got involved in it and why, how many people are involved or served, revenue or reach, growth, frequency of meetings, etc.*
Please include numbers!
Describe your "overall leadership or outstanding volunteerism." List the roles and involvement, the impact made, and/or what makes the student's actions impressive? Please include numbers and details like scope of people involved, fundraising results, growth/expansion achieved, etc.*
Describe your special project or initiative. Include details like when you began it and why, how many people are involved, revenue and/or reach, overall impact, how much time has been committed to said project/initiative.*
PLEASE INCLUDE NUMBERS!
Describe your civic engagement or advocacy. Include details like when the involvement began and why, how many people are involved or reached, any revenue, overall impact, how much time is committed to this engagement, etc..*
PLEASE INCLUDE NUMBERS!
Who or what has been directly impacted as a result of your accomplishment(s) or contribution(s)?*
Please be as detailed as possible and include anecdotes or numerical data if applicable.
Do you do volunteer work?*
- Yes
- No
- Not sure
Describe your volunteer commitment and scope of service. With whom do you volunteer? Please include details like how long you have been involved, any unique initiatives taken as a volunteer, fundraising or campaign achievement, before and after, etc.?*
How do you plan to continue your impact through high school and beyond?*
How has 21st Century Leaders impacted you and the accomplishment(s) you are nominating yourself for? How have you demonstrated inclusion and belonging, leadership development and/or career readiness for yourself or others?*
Additional Information
While it's not required, you are welcome to submit additional information to support this nomination, including a website, videos, articles, pictures or other leadership roles, accolades, and recognition.
Optional: Please share other comments or list other leadership activities, roles, clubs related to this nomination.
Website of student's project/initiative (if applicable)
Attach File/Video/Pictures (optional)
Drop files here or

Max. file size: 256 MB.
Verification
If you are nominating yourself, please provide the name and contact information of ONE reference who can verify the accuracy and truth of your nomination. This person cannot be a relative.
Reference Name*
First Last
Reference Email*
Reference Phone*
Reference's relationship to nominee*
- Mentor
- Teacher/School Employee
- Nonprofit Representative
- Co-worker/Boss
- Peer
Please select all that apply
Nominees are required to complete Level 1 in Leadership Connect by November 1st in order to be considered. Would you like us to notify your nominee with a reminder about this requirement?
- Yes
- No
- I'm not sure
Nominees are required to complete Level 1 in Leadership Connect by November 1st in order to be considered. Please acknowledge below that you understand this eligibility requirement.
- Yes, I acknowledge and will complete Level 1 by November 1st if I have not already done so.
If you have questions about your access to Leadership Connect, please email lc@21stcenturyleaders.org

Save and Continue Later

Δ

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21st Century Leaders is a non-profit organization that connects, transforms, and inspires high school students across Georgia to promote inclusion, explore career opportunities, and become leaders in their school, community, and ultimately the workforce.

Georgia Youth Leadership Awards Nomination

Nominate a 21CL Student!

Georgia Youth Leadership Awards Nomination (2025)

Step 1 of 2

DISCLAIMER

NOMINATOR INFORMATION

STUDENT NOMINEE INFORMATION

WHAT MAKES YOUR 21CL STUDENT AN OUTSTANDING LEADER?

WHAT MAKES YOU AN OUTSTANDING 21ST CENTURY LEADER?

Additional Information

Verification

Step 1 of 2

DISCLAIMER

NOMINATOR INFORMATION

STUDENT NOMINEE INFORMATION

WHAT MAKES YOUR 21CL STUDENT AN OUTSTANDING LEADER?

WHAT MAKES YOU AN OUTSTANDING 21ST CENTURY LEADER?

Additional Information

Verification

Not Ready to Partner Yet?
Let's Stay in Touch

Sign up for email updates about our active partnerships, ongoing impact, and opportunities to get involved.

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