YHOTY Submission Page

Enter your Nomination information here:

YHOTY Form

Name

Your name, not the nominee

First Name

Last Name

Email Address

Your email address, not that of the nominee

Nominee Identification Data

Full Name of Nominee

First Name

Last Name

Callsign of Nominee

Class of license of Nominee

License Expiration Date of Nominee

YYYY

Address of Nominee

Must be from USA or Canada only

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Phone Number of Nominee

(###)

###

####

Email Address of Nominee

Current Age of Nominee

Must be 18 or under

Date of Birth of Nominee

YYYY

Place of Birth of Nominee

Gender of Nominee

Male

Female

Mother's Full Name

First Name

Last Name

Father's Full Name

First Name

Last Name

Brother/Sister Names and Ages

Nominee School Data

Current School

School Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Primary Teacher Contact

First Name

Last Name

Teacher Contact Phone Number

(###)

###

####

Grade

Grade Point Average

Other

Any additional School information you wish to provide, such as club name, whether the nominee participates in sports, band or extracurricular activities, etc.

Nominee VEC Data

Name of VEC that performed testing

Include Callsign if available.

VEC Contact Phone Number

(###)

###

####

Tell Us About Your Nominee

PLEASE BE EXCEEDINGLY SPECIFIC. DO NOT USE GENERALIZED STATEMENTS. PROVIDE COMPLETE AND DETAILED DOCUMENTATION FOR EVERY CLAIM MADE.

Nominee's extracurricular Activities

(Scouts, civic groups, etc. Explain involvement)

Additional Comments

Your Summary Comments

Materials to validate why nominee should be selected for this year's award.