Our local hospitals get together and host the "Mayors Outstanding Hospital Teen Volunteer" awards. Each hospital chooses an outstanding teen from the summer programs. The mayor writes a proclamation and usually comes to help present the awards. Each teen receives a copy of the proclamation and gift card to the local mall.
I don't know how the other hospitals choose their outstanding teen. As for my hospitals, I and my staff person usually have no problem determining who to give it to...there is usually one that just stands out above the rest.