Project of Impact Award | Nomination Form

County Project of Impact | Nomination Form
Submission Deadline: September 30, 2025
YOUR PROJECT
Project/Program Title*
YOUR INFORMATION
Your Name*

First NameLast Name
Your Email *
example@example.com
County*
Job Title*
PROJECT CONTACT'S INFORMATION (if different)
Name

First NameLast Name
Email
example@example.com
Job Title
County
Nomination Summary

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ABSTRACT
In 300 words or less, summarize the program, including description, purpose, and outcomes. This will be published if your project is chosen to be recognized. You will have a chance to expand more on each detail in later questions.
PURPOSE
Describe the problem this project was implemented to solve or provide other context for why this project's development met a county need or obligation. How does the project solve these problems or meet these needs? Max 300 words.
INDIVIDUALS INVOLVED
List the primary county leadership or staff who were involved in this project implementation. Explain any state, federal, or private stakeholders who were involved in the implementation. We may reach out to you for contact information so that we may recognize all involved if your project is chosen.
TIMEFRAME
Outline the project timeline, including development and implementation. Provide a general start time. Provide an estimated finish date or full implementation date, if applicable.
COST AND FUNDING
Describe the operating and capital costs incurred from the development and implementation of this project. List out the main costs. (Max 200 words)
IMPACT
Explain the impact of the project, especially related to meeting its original objectives. Include examples, measurable data, and/or testimonials or success stories. You may also include information on potential future results, as long as you have some current data to share, as well. (Max 300 words)
INNOVATION
Explain what makes your project innovative or unique. Why should it be recognized by your county peers? (Max 300 words)
ADDITIONAL INFORMATION
Please provide any additional context or information you would like to share with WSAC staff or the selection committee.
SUPPORTING IMAGES AND DOCUMENTS
Upload an image of the project in action or an image that represents the project:
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Upload any other supplemental materials:
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County Project of Impact | Nomination Form

Nomination Summary