Happywhenfit Youth Health Ambassador Award

Online Nomination/Application Form

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Nominees Details (Self Application)
Name
Name
Date of birth:
Date of birth:
Street Address
Street Address
(For example: "I have nominated myself for the award because I feel I am a positive healthy role model for people my age. I live an active lifestyle and participate in interest groups in and outside of school that keep me mentally and physically active, including team sports, guitar lessons, choir, and chess . I embrace the cultural traditions of my family and community and enjoy cooking wholesome healthy foods that celebrate those traditions. I put a lot of effort into building new and existing friendships and keep a close circle of friends that are fun, supportive, kind, and respectful. I recognise that it is these quality relationships in my life that keep my feeling mentally healthy and happy. I strive to be a good person by acting towards others how I like to be treated. I feel it is these qualities that make me a good Health Ambassador for the Youth of our community).
Nominators Details (Nominating for someone else)
Name
Name
Date of Birth:
Date of Birth:
Street Address
Street Address
(For example: "I have nominated Charlee for the Youth Health Ambassador Award, as she is a positive role model of healthy behaviours to all of those around her. She actively participates in sports and interest groups in and out of school, and she is an active voice for the needs and interests of Youth in her school and community environment. Charlee is a responsible, and proactive young lady who is passionate about all things health and fitness. Her enthusiasm and application of a healthy lifestyle is to be commended and sets a strong example to her peers and other young people about the benefits of leading a healthy lifestyle. She would make a strong and reliable Youth Health Ambassador for Bunbury and the South West).
Referee Details
Please provide the details of an additional reference to gather more information about the individual being nominated
Name
Name
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