A Million Dreams Annual Gala
Nominations & Recognitions
Nominee's Name
*
First Name
Last Name
Organization nominee represents (if applicable)
*
Nominee's email address
*
example@example.com
Nominee's phone number
*
-
Area Code
Phone Number
Tell us about your nominee. This can be a person with a developmental disability, a service provider, an advocate, an organization, an educator or other category. What makes them extraordinary? Be as specific as possible!
*
Your name
*
First Name
Last Name
Your email address
*
example@example.com
Your phone number
-
Area Code
Phone Number
How would you like to be contacted if your nominee is chosen to be recognized at our event?
Phone
Email
Submit
Should be Empty: