TOYA Nomination Form "*" indicates required fields Step 1 of 5 - Introduction 20% IntroductionOverview The Ten Outstanding Young Americans (TOYA) program serves to recognize up to ten individuals between the ages of 18 and 40 who exemplify the best attributes of the nation’s young people. Nominations are received in each of the ten categories listed below. Honorees selected in past years have represented the heights of progress in all human endeavors. Many have gone on to even greater achievements. All have continued to serve humanity in a great variety of ways. JCI USA will honor the Ten Outstanding Young Americans each year at the TOYA Ceremony during the JCI USA National Meeting held in September. The ceremony will highlight each winner’s career in narrative form and provide a stage from which the honorees can challenge and inspire young people from around the world. For each honoree, there will be a video presentation profiling his/her accomplishments, followed by the trophy presentation, and an acceptance speech. 2025 Banquet and Ceremony September 27, 2025 · Raleigh, NC Young men and women may be nominated in one of the following ten categories for the TOYA honor. A national panel of distinguished judges will select honorees. Up to ten top honorees will be selected from all nominations received, regardless of category entered. Nomination Categories Business, economic, and/or entrepreneurial accomplishment Political, legal, and/or governmental affairs Academic leadership and/or accomplishment Cultural achievement Moral and/or environmental leadership Contribution to children, world peace, and/or human rights Humanitarian and/or voluntary leadership Scientific and/or technological development Personal improvement and/or accomplishment Medical innovation JCI USA will provide each TOYA Honoree: Two complimentary TOYA Banquet and Ceremony tickets Single room hotel accommodations for up to 3 days/2 nights One domestic economy airline ticket to the JCI USA National Meeting Program Rules Nominees must be between the ages of 18 and 40 (inclusive) on the date of the ceremony. The nominee must be a native-born or naturalized citizen of the United States or must have applied for citizenship by January 1 of the preceding year. The nominee may not be a current member of the JCI Board of Directors at the international, national, state, or local levels. The nominee may not be a paid staff member of JCI USA. The nominee must be entered in one of the ten categories listed on this form. Each nominee may be nominated in only one category. The nominee or nominee's official representative (e.g. agent, publicist, or staff person) must sign the official nomination form attesting to all facts contained in the form and granting permission for publication of these facts. By signing this form, the nominee also indicates willingness to attend the TOYA Awards Ceremony on September 27, 2025, barring extreme circumstances. By signing this form, the nominee (or official representative) agrees that if selected as an honoree, to communicate with TOYA Program Managers and provide information for the awards ceremony. All information must be contained on the pages of this official form. No attachments of any kind are allowed. Scrapbooks, audiotapes, etc. CANNOT be used in the judging process. If a candidate is selected as one of the honorees, however, these items may be requested by JCI USA. Nomination forms must be received by April 30, 2025 either by this form, or completed form in PDF format. All questions on the nomination form MUST be answered. Incomplete nomination forms are subject to disqualification. Nomination forms will only be accepted in English. Nominees must be willing to promote the ideals of JCI USA for the year after winning the award. Nominees must be willing to allow JCI USA to use their name, image, and submission information in current and/or future communication and promotion of the TOYA program. This nomination form is only valid for 2025 TOYA program consideration. To receive an updated nomination form, please Email us.Confirmation* I agree to the above. Your InformationName* First Last Email* Phone*Are you submitting this nomination on behalf of a JCI Organization? Yes No Organization*State*AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingState President*Relationship to Nominee* Nominee InformationNomination Category*Business, economic, and/or entrepreneurial accomplishmentPolitical, legal, and/or governmental affairsAcademic leadership and/or accomplishmentCultural achievementMoral and/or environmental leadershipContribution to children, world peace, and/or human rightsHumanitarian and/or voluntary leadershipScientific and/or technological developmentPersonal improvement and/or accomplishmentMedical innovationNominee's Name* First / Given Name Last / Family Name Title*Occupation / Profession*Nominee's Email Address* Enter an Email address for the nominee or their designated contact. A notification will get sent to this Email address to supply their own information and collect signature and approval of the nomination.Is the nominee a US citizen?* Yes No In the Words of the NominatorReason for Nominating*In your own words, why do you believe that the nominee should be selected as one of this year’s Ten Outstanding Young Americans?Jaycee Creed Alignment*Explain how the nominee exemplifies the principle expressed in the following line of the Jaycee Creed, “That service to humanity is the best work of life.”Attestation* I agree to the following:I agree that by submitting this nomination, I have permission from the nominee to submit them for consideration for the JCI USA Ten Outstanding Young Americans award.Signature* Nominee InformationThis information should be completed by the nominee.Nominee's Date of Birth* MM slash DD slash YYYY Mailing Address* Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongoCongo, Democratic Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzechiaCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea, Democratic People's Republic ofKorea, Republic ofKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth MacedoniaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussian FederationRwandaRéunionSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyria Arab RepublicTaiwanTajikistanTanzania, the United Republic ofThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkmenistanTurks and Caicos IslandsTuvaluTürkiyeUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaViet NamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Primary Contact Phone #*Alternate Contact Name First Last If you would like JCI USA to work with an alternate contact such as an agent, publicist, or family member, please enter their information here.Relationship to NomineeAlternate Contact Email Alternate Contact Phone #Headshot* Drop files here or Select files Accepted file types: jpg, png, tiff, Max. file size: 128 MB. Please provide a high-resolution head shot photo to be used for printing materials. For best results, photos should be 300 dpi and at least 1500 pixels on a side.Resume / CV Drop files here or Select files Accepted file types: doc, docx, pdf, Max. file size: 128 MB. Upload a copy of the nominee's resume here.LinkedIn / Online CV URL*Enter the nominee's Linkedin profile URL here. If they do not have a Linkedin profile, you may specify a link to their website here.Biography* Please provide a couple paragraphs to be used as a biography in announcement materials and in the TOYA event program booklet. This should include your home location and a description of your projects and accolades. A good length would be around 300 to 500 words. Attestation I agree with the terms and conditions below.I attest to all the facts contained in my nomination form and give permission for the facts to be used for publication. If selected as a TOYA Honoree, I understand that, barring extreme circumstances, I am required to be present for the TOYA Ceremony and activities at this year’s JCI USA National Meeting to be held September 26-27, 2024. In the event that circumstances prevent my attendance, I must present the conditions to JCI USA for a decision on the continued eligibility for my nomination. I agree to promote the ideals of JCI USA for the year after receiving the award. I also agree that JCI USA has permission to use my name, image, and submission information in current and/or future communications and promotion of the TOYA program. Nominee Signature*CommentsThis field is for validation purposes and should be left unchanged.
