Your Name
*
First Name
Last Name
Your Email
*
example@example.com
Your Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Nominee’s Full Name
*
Nominee’s Email
*
example@example.com
Nominee’s Social Media Handle (Facebook, Instagram, etc.)
*
How do you know the nominee?
*
Why are you nominating this person?
*
Share what makes them stand out—be specific.
How has this person made an impact on you or others?
*
This is the heart of it—we want to know how they show up!
Is there a specific story or moment that captures their greatness?
We love a good personal anecdote.
Upload a Photo of the Nominee (optional but encouraged).
We’d love to put a face to the name!
Do you give us permission to publicly share this nomination/story?
*
Yes
No
Submit
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