9 Who Care Nomination Form

Each year, KCRG-TV9 and our Show You Care Sponsors honor outstanding volunteers throughout Eastern Iowa.

Nominations are accepted through the month of October. 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 ceremony in March. During the ceremony, the award recipients are each presented with a $500 donation to give to their charity of 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 Jefferson Awards 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.

Terms and Conditions

You have read Gray Local Media, Inc.'s Standard Terms and Conditions at https://graymedia.com/about/terms-of-use and agree to those terms in full.

I Agree to the Terms and Conditions