H.A.L.O. Awards Teal Gala~ Awards Nomination / Speaker Form
At the Teal Gala, we proudly present The HALO Awards, with each award symbolizing a key aspect of Project HALO's mission and objectives: Hope, Advocate, Learn, Overcome. Please fill out this form to nominate someone for one of the 4 awards. The Nominee should be someone who has worked with Sexual Assault Survivors and/or Trauma Victims and their work should reflect turning Trauma into Triumph through awareness, advocacy, prevention, healing and/or creating social change! You should also fill out this form if you'd like to be A Keynote Speaker. Speakers should be a voice with lived experience, professional insight, and/or a message that moves others toward healing, justice, and change. Thank you so much for your courage to stand forth.
H.A.L.O. Awards NOMINATION FORM:
1. Choose the Award
Choose the Award
The Light in the Darkness Award: Celebrating Hope and Resilience
Knowledge is Power Award: The Voice of Awareness
The Advocate's Voice Award: Catalyst for Change
Strength in Unity Award: Empower to Overcome
Detailed Reason For Nomination:
Explain why your nominee deserves the selected award.
2. Nominee Information
Nominee's Name
First Name
Last Name
Nominee's Phone Number
Nominee's E-mail Address
example@example.com
Nominee's Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
3. Short Biography of Nominee (2-3 lines)
Fill out a brief description of the Nominee
4. Nominee Headshot:
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5. Nominee Logo (if applicable):
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6. Nominator Information
Your Name
First Name
Last Name
Your E-mail Address
example@example.com
Your Phone Number
Your Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
KEYNOTE SPEAKER FORM:
Name
First Name
Last Name
Email
example@example.com
Phone Number
Please enter a valid phone number.
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
What is your Title/Role and write a brief synopsis of your Speaker Message:
Your Headshot:
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Speaker Logo (if applicable):
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Send Submission
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