9 Who Care Nomination Form

Each year, KCRG TV-9 and our Show You Care sponsors honor outstanding volunteers throughout Eastern Iowa.

Nominations are accepted through November 15th. Nine finalists are chosen by an independent panel of judges. The 9 Who Care award recipients are featured during a newscast and honored at a banquet in March. During the ceremony, the award recipients are each presented with a $500 donation to give to their charity of their choice.

Nominee*

First NameLast Name

Nominee Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Nominee Daytime Phone Number*

Area CodePhone Number

Nominee Occupation*

Your Contact Information*

First NameLast Name

Your Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Your Daytime Phone Number*

Area CodePhone Number

Your Email Address*

example@example.com

Nominee Information

Our 9 Who Care panel of judges votes for you nominee based entirely on the information you provide. Please let us see a clear image of your nominee through your writing. Use additional paper if needed. (If you have questions, contact KCRG-TV9 Outreach Coordinator at 319-399-5983)

Background Information (Please provide information on the nominee's personal life, such as family, education and interests.)**

Honors and Awards (List nominee's past awards and recognition.)*

Volunteer Activities (List all the nominee's volunteer activities, length of service and any accomplishments. List only work for which there was no compensation.)*

Outstanding Qualities (Please use the section to describe your volunteer. Give specific examples of the ways he or she cares.)*

Please enter your date of birth.*

You must be at least 18 years of age to submit this form.

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