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"Inspire the Future" Award

Fidelity Investments " Inspire the Future" Award Nomination Form
Please note, (*) indicates required field.

NOMINEE CONTACT INFORMATION
* First Name
* Last Name
* Mailing Address
Address (contd.)
* City
* State/Province
* Zip/Postal Code * Country
* Phone Number
Phone number is required to contact winners
* Birth Date
* E-mail Address
Male Female

NOMINEE'S VOLUNTEER HISTORY
* Nominee's Organization
* Nominee's Role/Title:
* How many years has the nominee volunteered for his/her organization?  
* Please provide a brief description of the nominee's roles and responsibilities:

NOMINEE'S QUALIFICATIONS
* Please write a brief statement outlining the nominee's achievements on each of the following criteria. Give real life examples where appropriate.

* Inspiration: How has the nominee inspired youth (and other volunteers)?

* Exceeding Expectations: How has the nominee gone above and beyond expectations?

* Community: What does the nominee mean to the community? How does the nominee influence youth and others beyond the playing field?

Additional Information: Is there any other information that would exemplify why the nominee fulfills the criteria of the award?

NOMINATOR'S INFORMATION (optional)
* First Name
* Last Name
* Mailing Address
Address (contd.)
* City
* State/Province
* Zip/Postal Code * Country
* Phone Number
Phone number is required to contact winners
* Birth Date
* E-mail Address
* Association to Nominee
(i.e. Parent, fellow coach, program administrator)