The Attorney General’s 2019 Triple “C” Nomination Form

Attorney General Letitia James is pleased to carry on the Attorney General's Triple “C” Awards program recognizing the Courage, Character and Commitment of New York State's outstanding students. Please use the following form to nominate two students whom you believe deserve special recognition.

To ensure your Triple “C” Awards arrive on time and contain accurate information, please fill out the following nomination form completely as soon as possible, no less than three weeks before your planned presentation date. If you have not received your awards one week before your ceremony, or require any assistance completing this form, please call our office at (518) 776-2355. To nominate more than two students, you may submit this form multiple times.

If you are experiencing trouble with the electronic nomination form, you may click this link to the paper form. Print one copy for each student you will be nominating and mail it to the address listed on the form. Please note that paper forms may take longer to process, so allow additional time for your certificates to be received.

School Contact Information
School Information
Ceremony Information

If available, a representative from the Attorney General’s Office may be able to attend your ceremony and present the Triple “C” Awards to your students.

Please list any special instructions specific to the location (i.e. "in the gym" or "auditorium")
Student 1 Information

The Attorney General frequently hosts receptions for Triple C winners and their families. Please provide the following information so we may contact them, should one be scheduled in your area.

Student 1 Second Parent Contact information

Attach a File
To attach a file, please click the Browse or Choose File button below, locate the file on your computer, and click Open. The file cannot exceed a file size of 3 MB.

Files must be less than 2 MB.
Allowed file types: gif jpg jpeg png bmp txt rtf pdf doc docx ppt pptx xls xlsx.
Student 2 Information

The Attorney General frequently hosts receptions for Triple C winners and their families. Please provide the following information so we may contact them, should one be scheduled in your area.

Student 2 Second Parent Contact information

Attach a File
To attach a file, please click the Browse or Choose File button below, locate the file on your computer, and click Open. The file cannot exceed a file size of 3 MB.

Files must be less than 2 MB.
Allowed file types: gif jpg jpeg png bmp txt rtf pdf doc docx ppt pptx xls xlsx.

Note: to nominate more than two students, you may submit this form multiple times.