2021 Community Impact (Non-Profit) Nomination Form
RequiredRequired Question(s)
Required 1.

Nominated Organization Name:

 

50 characters left.
Required 2.
Nominee and/or Contact Name:
 

50 characters left.
Required 3.

Nominee/Contact Email:

 

50 characters left.
Required 4.

Why do you believe this organization should be recognized for this award? 

 

350 characters left.
Required 5.

Describe how this organization contributes to the well-being of the community. 

 

350 characters left.
Required 6.
Please enter your contact information below in case we require further information:

First Name:
Last Name:
Work Phone:
Email Address:
emailaddress@xyz.com