Clone of 70 Over Seventy Awards Nomination Form

Nominees must be 70 years of age or older to be eligible for consideration.

Nominations may be submitted in as many categories as you wish. However, each submission requires a separate nomination form and individuals can only be honored in one category.

For a complete description of each award category, please see website.
2026 | 70 Over Seventy: The Next Chapter Awards | Nomination Form
Referred by: (optional)

First NameLast Name

2. Nominee Information
Nominee's Name

First NameLast Name
Nominee's Phone Number

Area CodePhone Number
Nominee's E-mail Address
Nominee's Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Please provide a brief narrative to support your nomination (no more than 500 words per question). Your nomination should include:
- Why you are nominating this individual for this specific category;
- How they have made or continue to make an impact in their field or the community;
- How they have shown that impact is not limited by age.
Nominee Overview (Can include work and/or accomplishments at any age) *

0/500
Choose the Award

ArtChangemakerCivic/Community LeadershipEntrepreneurshipLifelong LearningLifetime AchievementUnsung Hero
Are there any special accomplishments or work since turning 70? (If no, please enter N/A)*

0/500

2026 | 70 Over Seventy: The Next Chapter Awards | Nomination Form