2021 Speak Hard Youth Award

Name of Youth:*
First Last
Age:*
Grade:*
Coalition/Group (If applicable):
School Name:*
School City and County:*
City Country
Youth's 9 digit zip code*
Name of person nominating:*
First Last
Email of person nominating:*
What outstanding characteristic makes this the best nominee?*
What prevention activities is this youth/group involved with?*
Other extra-curricular activities:*
Awards and special recognitions (please limit to 5):*
Please upload a photo of the youth:*
Max. file size: 300 MB.