Chrysalis Awards Nomination Form

Version française

Thank you for taking the time to nominate an outstanding youth for the Chrysalis Awards. You may nominate more than one youth by completing a separate form for each nominee.

Please provide as much detail as possible to help the selection committee evaluate your nominations.

"*" indicates required fields

Your Information (Nominator)

Name*
(Mentor, Teacher, Community Leader, Family Member, etc.)

Nominee Information

Name*
Nominee’s Age Range:*
Which Hellenic value best represents the nominee’s achievements?*
(Select one that aligns best)

Nomination Details

(Provide a detailed explanation of the nominee’s contributions, impact, and achievements.)
(This can include links to a video, news articles, social media profiles, or other relevant supporting materials.)
Max. file size: 50 MB.

Financial Support for Nominee

Are you willing to sponsor/pay the nominee’s ticket to attend the Chrysalis Gala?*

Confirmation & Consent

Confirmation & Consent*
Confirmation & Consent*