Young Heroes Form Details
All nominations must be completed ONLINE.
Young Hero Nomination - Click Here
Please be prepared to answer the following questions in the nomination form:
Nominee Contact Information
- Nominee First Name
- Nominee Last Name
- Nominee Birthdate
- Nominee Best Phone
- Nominee Best E-mail
- Grade Level
- Nominee Address (street, city of residence in Louisiana, and zip code)
- School
- Is your nominee related to anyone who is employed by Louisiana Public Broadcasting or is a board member of the Louisiana Educational Television Authority?
- If yes, please indicate name and relationship.
Parent/Guardian Contact Information
- Parent/Guardian First Name
- Parent/Guardian Last Name
- Parent/Guardian Best Phone
- Parent/Guardian Best E-mail
Nominator Contact Information
- Nominator First Name
- Nominator Last Name
- Nominator Best Phone
- Nominator Best Email
- Nominator Best Address
- How do you know your nominee?
- How did you hear about Young Heroes?
Nominee Information
About the Nominee - Briefly describe the person you're nominating. What is their personal background? Who are they as a person? What are they passionate about? (Character max 1750 / ~ 350 words)
Community Involvement & Impact - How has your nominee shown their commitment to bettering their community and the lives of others? How much time and effort have they put into their community? How have they made a positive impact in their community? Please provide specific examples and highlights. (Character max 1050 / ~ 200 words)
Leadership - Does your nominee collaborate with others and look for new and innovative ways to solve problems? Do peers look up to them? Do they set a positive example for others? Please provide specific examples. (Character max 1050 / ~ 200 words)
Academic Involvement & Achievements - Is your nominee involved in their school? What clubs, teams or organizations do they belong to? Do they hold leadership positions? Do they set an example for others in the classroom? Please provide specific examples. (Character max 1050 / ~ 200 words)
Perseverance / Demonstration of Heroism - How has your nominee provided exceptional inspiration to those around them despite experiencing remarkable adversity, roadblocks, unusual challenges, limited resources; or has your nominee shown extraordinary heroism? Please provide specific examples. (Character max 1050 / ~ 200 words)
Additional Information
Required: One letter of support from someone other than a family member or guardian (example: from a school principal, teacher, mentor)
Optional: Optional: One additional support document (examples: another letter of support, newspaper article, or a document with video links).