Blue Chip Champion Nomination Form

Please read the brochure for the details prior to sending your email.   Click here to download. The following areas will be considered when selecting the CHAMPIONS for each quarter:

	Making a positive difference in his/her community.
	Use of nominee’s talents/resources to help a community or an organization
	Taking leadership in community or organization
	Showing acts of kindness and caring for others
	High levels of integrity and morals

Please send an email to info@bluechipcookies.com with the following information!

Your Name:
Your E-Mail
Your Address
Person you are nominating:        
Your relationship to the nominee:
Nominee's Address including street, town, state and zip code.                
Nominee's Email:

Pick the categories/words below that best describes your nominees' action and include them in your short essay.

• Leadership                                
• Courage
• Initiative
• Problems Solving
• Creativity
• Fund Raising for a Cause
• Helping Children
• Helping Elderly
• Disaster support
• Act of Kindness/Caring
• Other

What did this young person do that you believe was an extraordinary act that helped people and the world they live in? Please write no more that 350 words.

Send to info@bluechipcookies.com