Overall Survey Results:
Amazing Kid Nomination Form
1
Today's date:
Number of
Responses
19
2
Your Name:
Number of
Responses
19
3
Your Phone Number:
Number of
Responses
19
4
Your Email Address:
Number of
Responses
19
5
Nominee's Name:
Number of
Responses
19
6
Nominee's Phone Number:
Number of
Responses
19
7
Nominee's Email Address:
Number of
Responses
16
8
Nominee's Date of Birth:
Number of
Responses
19
9
Project Title & One Line Summary Description:
Number of
Responses
18
10
How Did You Learn About The "Amazing Kid Award":
Number of
Responses
18
11
What is the relationship between the nominator and the young person who is being nominated?
Number of
Responses
18
12
Why did you select this "Amazing Kid"? (Tell us the success story in such a way that we get to know the individual.)
Number of
Responses
18
13
What motivated/inspired this "Amazing Kid"?
Number of
Responses
18
14
What did this "Amazing Kid" learn from this experience?
Number of
Responses
18
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