Nomination Form

Rising Star Award Nomination Form

Fields marked are required.

Nominator's Name

Phone Number

Email Address

Nominee's First Name

Nominee's Last Name

Age

Phone Number

Email Address

Grade level

School

How many community service hours did the nominee complete from January 2022 to December 2022?

Please explain why Gwinnett Police should recognize the nominee for the Rising Star Award.

Describe one of the most notable community service activities the nominee conducted.

Who benefitted from the activity?

Was this a new or ongoing initiative?

What was the impact or results of the community service activity?

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