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Nominate young heroes for Stone Soup for the Teen World

Our goal is to touch people's hearts and inspire them towards action. You can nominate yourself or a friend. Please have the nominated young hero fill out this form, so we can understand the story from his or her perspective.

PLEASE fill out this form and return by October 12, 2002 email teen4world@yahoo.com
• NAME of NOMINEE:
• ADDRESS:
• PHONE #:
• EMAIL ADDRESS:
• SCHOOL:
• GRADE IN SEPT. 2002:
• BIRTHDATE:
• Nominee is available for an interview (by phone) at these times:
• NAME of NOMINATOR or ORGANIZATION:
• ADDRESS:
• EMAIL ADDRESS:

In your own words, please give your story idea and this information:
 1. Describe the work you are involved with (and/or organization).
2. How, when, and why did you get started? What inspired you?
3. What is your biggest success?
4. What is the greatest obstacle you overcame to help others?
5. How have you (personally) and your efforts grown over the years?
6. What did you learn from this experience? Humorous life lessons are a plus.
7. What motivates you to continue doing this work day after day?
8. What impact have you had? Try to include a specific, touching story - that includes a dialogue - between you and another person that you have helped.
9. Please include a call-to-action, with a way to support or duplicate your efforts.
10. How are you going to change the world ... in 1-2-5 years?

__ I am also interested in being on the International Youth Council.
__ I/We are interested in helping design exciting educational media events before and/or during the book launch in October, 2004.
I have read the nomination and selection process for stories in this book and understand that only 100 stories will be chosen to be included in the book.
APPLICANT NAME (printed):
SIGNATURE:

I have read the nomination and selection process for this project and I support my son/daughter's participation in this nomination process.
PARENT/GUARDIAN NAME (printed):
SIGNATURE:
WORK PHONE NUMBER:
EMAIL ADDRESS:

Announcing Contest with youthnoise.com