Make a Nomination

Our project would not be successful without our awesome nominees. Please fill out the form below if you’d like to nominate someone. Please read through our vision and mission statements to ensure your nominee fits our strategy. We cannot thank you enough for considering paying it forward by nominating someone who fits our vision. Please include as much detail as possible.

Who would you like to nominate?

Please enter the name of the nominee. This must be a name and not a business or social media username.

First Name

Last Name

Nominee's Email

Nominee's Phone

(###)

###

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Nominee's Social Media or Website

http://

Please write a description on why your nominee should be chosen. Be as specific as possible. This information in this field may be shared with the nominee to ensure accuracy.

What is your affiliation to the nominee?

To ensure fairness of nominations, would you benefit in any way if this nominee is chosen as a recipient in any form (recognition, monetary, etc.)?

Yes

Maybe

Your Name

First Name

Last Name

Your Email

Your Phone

(###)

###

####

I would like to keep my information anonymous to the nominee:

Yes