Youth Achievers Nominations · Namaste Phoenix

1. Personal information

Enter the nominee’s name exactly as it should appear in the magazine.

Full name

Age

Must be between 14 and 21.

Email address

Phone number

City / area of residence

2. Nomination details

Who is submitting this nomination?

Self

Parent / Guardian

Teacher / Mentor

Community Leader / Organization

Other

Nominator’s name

Relationship to the youth

Nominator’s email (optional)

Nominator’s phone (optional)

3. Achievements & activities

Select all that apply, then describe key accomplishments with specific examples.

Primary area(s) of achievement

Academics / STEM

Arts - Music, Dance, Visual Arts, Theater, etc.

Sports / Athletics

Leadership / Student Government

Community Service / Volunteering

Entrepreneurship / Innovation

Cultural / Religious Activities

Other

Key achievements, awards, leadership, or community contributions

Include specific examples wherever possible.

0 / 8000

4. Supporting materials

Links are optional. A recent, high-quality photo is required (original file, not compressed by us).

Resume / CV / portfolio URL (optional)

LinkedIn or personal website (optional)

Google Drive link (optional)

News articles or media coverage (optional)

Video of achievements or performances (optional)

Additional photos (link) (optional)

Recent photo

Headshot or action photo. JPEG, PNG, or WebP up to 12 MB. Original quality is kept.

Extra files (optional, up to 2)

Resume PDF or extra photos, 10 MB each.

5. Referrals

Optional but recommended. Up to two people who can speak to the nominee’s achievements or character.

Referral 1

Name

Relationship to the youth

Email

Phone (optional)

Referral 2

Name

Relationship to the youth

Email

Phone (optional)

Parent / guardian consent

Required for nominees under 18. If you are the parent submitting this form, we will use your nominator details - you only need to check the box.

Parent / guardian name

Parent / guardian email

I am the parent or guardian (or I have their permission). I consent to Namaste Phoenix considering this youth’s name, photograph, and story. Publication, if selected, is decided by the Selection Committee.

Important information

Submitting a nomination does not guarantee selection or publication. The Selection Committee’s decisions are final. Namaste Phoenix may contact the nominee, parent or guardian, nominator, or references to verify information.

I confirm the information provided is accurate to the best of my knowledge.

I understand that submitting does not guarantee selection or publication.

The nominee will be added to the Namaste Phoenix newsletter (unsubscribe anytime).

More

1. Personal information

2. Nomination details

3. Achievements & activities

4. Supporting materials

5. Referrals

Referral 1

Referral 2

Parent / guardian consent

Important information

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