NOMINATION FORM

Utah's 7 for 17 Awards

The 7 for 17 award recognizes young Utahns who are working to achieve the 17 United Nations Sustainable Development Goals (SDGs) in Utah, the United States, and around the world. Individuals nominated for Utah's 7 for 17 exemplify Utah Council for Citizen Diplomacy’s core values of respect, social responsibility, and open dialogue.

Utah's 7 for 17 winners demonstrate a commitment to meeting the 17 United National Sustainable Development Goals through novel, innovative, or unique means.

Eligibility Requirements
In order to be eligible for the 7 for 17 nomination, individuals must:

- Have resided in the state of Utah for at least 1 year as of the time of nomination
- Be between the ages of 14-32 years old on September 24, 2022

- Be in Utah on September 23 and 24, 2022
- Not currently running for political/elected office

- Has not been a member of the UCCD Board of Directors, UCCD Staff, or UCCD's internship/fellowship program for at least 1 year as of the time of nomination

Judging Criteria
Nominations will be judged by a panel of young people, UCCD staff, and community leaders whose work relates to the UN Sustainable Development Goals. The criteria are as follows:

- Demonstrated commitment to furthering Utah’s local and/or global community
- Demonstrated commitment to UCCD’s guiding principle of citizen diplomacy
- Promising trajectory in personal, professional, or social life that could be aided by recognition

Use this form to nominate eligable Utahns for the 7 for 17 award. Please contact Vincent at vincent@utahdiplomacy.org with any questions.

Nominations are due by 11:59 P.M. on June 30, 2022. Winners will be selected and notified following this deadline.

Winners will be celebrated at the International Youth Summit on September 23 and 24, 2022. To learn more, visit Utah Council for Citizen Diplomacy's website.

NOMINEE INFO

Is this a self-nomination? *

Yes

No

Nominee First Name *

Nominee Last Name *

Nominee Date of Birth
Utah's 7 for 17 must be 32 years old or younger. +

Nominee Pronouns

She/her/hers

He/him/his

They/them/theirs They/them/theirs

Nominee Street Address

City

State

Zip Code

Phone Number

Email Address

NOMINATOR INFO

Please provide the information of the person completing this nomination form.

Nominator First Name *

Nominator Last Name *

Nominator Pronouns *

She/her/hers

He/him/his

They/them/theirs They/them/theirs

Nominator Street Address

City

State

Zip Code

Phone Number

Email Address *

Your Relationship to Nominee *

NOMINATION INFO

Which Sustainable Development Goal most closely align with the nominee's work?
Please indicate the closest aligned goal. To learn more about the 17 Sustainable Development Goals (and metrics related to each), please visit the United Nations information page. *

[OPTIONAL] Additional SDG related to work:

How has the nominee demonstrated their commitment to achieving this goal?

What are the top achievements that sets the nominee apart from their peers?

Why does the nominee deserve to be recognized as one of Utah's 7 for 17?

EVIDENCE OF IMPACT

Please provide relevant links that the selection committee may use to evaluate the nominee. Do not feel the need to fill every option below - just share links to the most representative works of your nominee.

Facebook

Instagram

Twitter

TikTok

Other Social Media

Personal Website

Organization Website

News Article(s)

Additional Links

Supporting Documents
i.e. Resume, CV, images, videos, articles, or writing samples.If unable to upload, please email documents to vincent@utahdiplomacy.org
Maximum file size: 100 mb

ONE LAST THING...

Is there anything the selection committee or UCCD should know that has not already been reflected in this nomination?

I certify that this application is correct and accurate, to the best of my knowledge. *

clear

Upon form submission, the nominee will receive notification that they have been nominated. This notification will incude your full name. However, it will not include a copy of the completed form.