Philadelphia Award Nomination Form 2025
Thank you for your interest in and support of The Philadelphia Award! This award is intended for a person who has performed an act or service of significant benefit to the city of Philadelphia, its communities, and/or its environments during the preceding calendar year. This act or service should be of such great value and impact as to merit public recognition and reward. Note that when selecting the award recipient, Trustees have broad and ultimate discretion in interpreting this requirement.
1. 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
2. Nominator Information
Your Name
*
First Name
Last Name
Your E-mail Address
*
example@example.com
Relation to Nominee?
*
I.e. Spouse, Child, Co-worker, Boss.......
Your Phone Number
*
Your Address
Street Address
Street Address Line 2
City
Please Select
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Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
State
Zip Code
3. About Nominee
Please describe the nominee's Act or Service and its Impact on the Community. (Maximum 500 words):
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Please provide a detailed description of the act or service performed by the nominee that benefits Philadelphia, its suburbs, or vicinity. Be specific and provide quantifiable results whenever possible. Include dates and locations as appropriate.
What has the nominee done in calendar year 2025 that is worthy of recognition?
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Supporting Documents (highly recommended but not required):
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Please attach any supporting documents that illustrate the impact of this service.Documents can include news articles, letters of recommendation, photographs,or other relevant materials. Note that these documents will help Trustees better understand and evaluate the impact of your nominee’s work.
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4. Additional Information
Describe how the nominee’s act or service aligns with the spirit of service and good citizenship as described above. Please elaborate below.
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Is the nominee a resident of Philadelphia, its suburbs or vicinity? (Yes/No) If no, please explain where they live and how their work has impacted Philadelphia, its suburbs or its vicinity
Date
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Month
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Day
Year
Date
Submission Instructions
If you have any questions after submitting your nomination, please contact us at ThephiladelphiaawardInfo@gmail.com. All nomination materials should be uploaded directly through this form. The deadline for submissions for our 2026 Award Recipient is January 31, 2026. Incomplete applications will not be considered.
Note
Note: The Philadelphia Award Trustees retain the sole and final discretion in selecting the recipient. While this form seeks to capture important details, the selection criteria are flexible to uphold the Founder's spirit of service and the Trustees's final decision. The Trustees are committed to transparency and will notify their decision to the nominator(s)of the award recipient after the awardee has been privately notified.
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