Youth Citizenship Awards

Each year the Town of Sussex presents Youth Citizenship Awards to young people who have made a difference in our community.

These youth have leadership experience, are creative and enjoy working on making our community a better place. If you know a youth that should be acknowledged for their hard work, please nominate them today.

The deadline for nominations will be Jan 31, 2012

Please fill out the information below and if you have any questions please call the Recreation Department at 432-4573

Fields in bold are required.

Nominee Details:
(1) Name of Nominee:
(2) Street Address:
(3) City/Town:
(4) Postal Code:
(5) Email Address:
(6) Phone Number:
(7) Description of Nominee (for award purposes):
(8) Please describe the contribution made by the nominee and how this contribution has improved the quality of life in the Sussex Region (If citing involvement in a specific Association or committee, please attach additional letters of reference below):
Nominator Details:
(9) Your Name:
(10) Organization Name (if applicable):
(11) Street Address:
(12) City/Town:
(13) Postal Code:
(14) Email Address:
(15) Phone Number:
Letter of reference #1 (if applicable):
Letter of reference #2 (if applicable):