(FIRST TIME NOMINEES ONLY)

We need you to nominate your outstanding student(s), group, or team for our annual
Southfield Youth Assistance Youth Recognition Awards Ceremony. Please complete and submit the form below.

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Nominations are accepted for grades 6th-12th ONLY.  Please DO NOT nominate an entire grade level.

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Submission Process:

Please SUBMIT THIS COMPLETED NOMINATION FORM BY FRIDAY, MARCH 27, 2020 BY MAIL, FAX, E-MAIL OR BRING THIS FORM TO:

Southfield Youth Assistance  inside Southfield A&T High School Campus

24675 Lahser Rd. (Room 117, Door #13)

Southfield, MI 48033

FAX:  248-746-7302

E-MAIL: southfieldyouthassistance@gmail.com

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