Nonprofit Impact Award Nomination Form
Submit your nomination for an outstanding nonprofit or individual making a significant impact. Please complete all sections for a thorough evaluation.
Nominee Information
Provide details about the nonprofit organization or individual you are nominating.
Full Name of Nominee (Organization or Individual)
*
First Name
Last Name
Nominee's Email Address
*
example@example.com
Nominee's Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
Nominee's Organization Name (if applicable)
Nominee's Role or Title
Nominee's Impact Area
*
Please Select
Education
Healthcare
Environment
Social Services
Arts & Culture
Community Development
Other
Describe the nominee's most significant impact and achievements.
*
Provide specific examples or stories that demonstrate the nominee's positive impact.
*
Impact Assessment
*
Rows
Significance of Impact
Innovation
Community Engagement
Sustainability
Outstanding
1
2
3
4
Excellent
5
6
7
8
Good
9
10
11
12
Fair
13
14
15
16
Needs Improvement
17
18
19
20
Please rate the overall impact of the nominee.
*
1
2
3
4
5
Upload supporting documents (photos, testimonials, reports, etc.)
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Nominator Information
Please provide your contact details.
Your Full Name
*
First Name
Last Name
Your Email Address
*
example@example.com
Your Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
Your Relationship to the Nominee
*
Submit Nomination
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