Líder Nomination Form
Mid-Career Fellowship for Latinx Philanthropic & NGO Professionals
Nominator Information
Tell us about yourself first.
Nominated by [YOUR FULL NAME]
*
Preferred Email
*
ejemplo@ejemplo.com
Are you comfortable HIP sharing you nominated the person(s) below?
*
yes
no
Nominees Information
Tell us about who you want to nominate. You can nominate more than one person.
1. Nominee Name
*
Name
Last Name
1.1 Organization Name
*
1.2 Nominee Email
*
ejemplo@ejemplo.com
Tell us in a few words why you decided to nominate the person above.
2. Nominee Name
Name
Last Name
2.1 Organization Name
2.2 Email
ejemplo@ejemplo.com
Tell us in a few words why you decided to nominate the person above.
3. Nominee Name
Name
Last Name
3.1 Organization Name
3.2 Email
ejemplo@ejemplo.com
Tell us in a few words why you decided to nominate the person above. question
Submit
Should be Empty: