Youth Recognition Form

Humanitarian Innovator Life-Saver Phoenix Visionary Dreamer Role-Model Discovery

Please include as much detail and description as possible when answering the following questions. The teen action council will use this information to select media stories and annual recognition winners.

Upload a supporting document such as a photo or newspaper article (OPTIONAL) File types accepted: bmp, gif, ico, jpe, jpeg, jpg, png, tif, tiff, doc, docx, xls, xlsx.