2. 

4. Nominate a youth to receive the first-ever Juneteenth Trailblazer Award during the Flag Raising Ceremony on Sunday, June 19 at 2 p.m. at One Aurora Plaza, 8 E. Galena Blvd.

   Do you know a Class of 2022 graduate from college, high school or middle school? How about a student who excels academically, athletically, or in co-curricular activities? Are you aware of a young leader who gives back to the community through service? 

   Honor these trailblazers for building upon the Juneteenth legacy of culture, commitment and excellence. 

   Submit your nomination below. Winners will be notified by Thursday, April 16.  

8. NOMINATOR INFORMATION

   (self-nominations are accepted)

10. Nominator's First Name*
11. Nominator's Last Name*
13. Cell Phone*
14. Email Address
16. Relationship to Nominee*
17. Are you available to be in attendance at the ceremony on Sunday, June 19 at 2 p.m. in downtown Aurora?*
    -- Select One --Yes, Definitely! No, Unfortulately!
21. NOMINEE'S INFORMATION
23. Nominee's First Name*
24. Nominee's Last Name*
26. Age *
27. Grade*
28. School*
30. Is nominee a Class of 2022 graduate?*
    -- Select One --YesNo

    If yes, please complete next section

31. Nominee graduated from:
    -- Select One --CollegeHigh SchoolMiddle School
33. Reason for Nomination*

    Give examples of how nominee is blazing a trail of excellence and upholding the culture and heritage of Juneteenth.

35. Nominee's Cell Phone (if applicable)
36. Nominee's Email (if applicable)
40. If nominator is not the nominee's parent, please complete the following:
42. First Name of Parent
43. Last Name of Parent
45. Parent's Cell Phone
46. Parent's Email
50. Upload a photo of nominee for publicity purposes
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51. 1. Receive an email copy of this form.
52. Email address

    This field is not part of the form submission.

53. Submit

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