Step Up Nomination Form

Please be sure to read the Step Up Hero Award Guidelines & Regulations. If you have any questions, please contact stepup@firedogpr.com.

Nominee Information

Full Name *

Age *

School *

City *

Parent/Guardian Name *

Parent/Guardian Phone Number *

Parent/Guardian Email *

Reason for Nomination * Please describe why you are nominating this individual as a Step Up Hero. Whether it be through volunteering, helping others, sharing or learning about their culture, being a good friend, showing kindness, art, academics, or athletics, we want to know their story. Include any positive impacts this child or youth has made to their community (i.e. volunteering, teamwork), why the child or youth is a good role model (i.e. actions, passions, behaviour) and any other personal achievements. Be specific!

Nominator Information

Full Name *

Daytime Phone Number *

Evening Phone / Cell Number *

Email *

Association with Nominee *

Please be sure to read the Step Up Hero Award Guidelines & Regulations. If you have any questions, please contact stepup@firedogpr.com.

Nominee Information

Nominator Information

Rules & Regulations