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. The 7 for 17 award winners 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.

Use this form to nominate young Utahns, aged 14-32, for the 7 for 17 award. Please contact Vincent at vincent@utahdiplomacy.org with any questions.

Winners will be celebrated at the International Youth Summit on August 12, 2021. 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 set the nominee apart from their peers? *

Why do you believe this person deserves being 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

Supporting Documents
i.e. Resume, CV, images, videos, articles, or writing samples. Maximum file size: 50 mb

News Article(s)

Additional Links

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.