NPD Nomination Form

National Philanthropy Day Awards Nomination
Nominator Contact Information
Nominator Name*

First NameLast Name
Nominator Organization (if applicable)
Address:*

Street Address

Street Address Line 2

CityState

Zip Code
Phone:*
E-mail:*
example@example.com
Nominee Information
Award Category*

Outstanding PhilanthropistOutstanding Philanthropic CorporationOutstanding Philanthropic FoundationLewis J. Burger Outstanding Volunteer FundraiserDennis A. Steele Outstanding Philanthropic OrganizationOutstanding Youth in Philanthropy Ages 5-17Outstanding Youth in Philanthropy Ages 18-23Ian T. Sturrock Outstanding Fundraising ExecutiveGiving Heart AwardSpecial Recognition
Nominee Name
Nominee Organization (if applicable)
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone Number*
Email*
example@example.com
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National Philanthropy Day Awards Nomination