YHOTY - 2008 Newsline Young Ham of the Year Nomination Form

2008 Newsline Young Ham of the Year Nomination Form

Tell Us About Your Nominee
His/Her Name:
Call Sign:
Address:
City:
State:
Zip Code: *

Telephone Number (incl. area code):
Email Address: *
Date of Birth:
Place of Birth:
Current Age: *
Mother's Name:
Father's Name:
Brothers/Sisters Names and Ages:

Gender:
Current School Attending:
Grade:
School Address (incl. City, State, ZIP):
Primary Teacher Contact:
School Telephone Number:
Current Grade Point Average (GPA):
Current Amateur License Class:
Year First Licensed:
VEC That Performed Testing (Name & Contact Number):

Now tell us why your nominee should be selected		PLEASE BE VERY SPECIFIC. DO NOT USE GENERAL STATEMENTS. PROVIDE COMPLETE AND DETAILED DOCUMENTATION FOR EVERY CLAIM. You are required to include substantiating documents to verify any claim made. Failure to include documentation will result in disqualification. Email all any associated documentation to newsline@arnewsline.org.
Extracurricular Activities
Additional Comments

Tell us a little about you
Your Name:
Your Call Sign:
When Licensed:
Your Address:
City:
State:
Zip Code: *
Home Telephone (incl. area code):
Work Telephone (incl. area code):
Your Email Address: *
Best Day / Time to Call: