Community Impact Award Nomination
Black History Month Community Impact Award
Thank you for helping us honor individuals who are making a meaningful difference through service. Please use this form to nominate one individual who demonstrates consistent community impact—either through LIFE Church Ministries or in the broader community.
Click
here
to view the nominee criteria!
Nominee Information
Name
*
First Name
Last Name
Phone Number
*
Please enter a valid phone number.
Email
example@example.com
Please describe the nominee’s service and impact.
*
How long has the nominee been serving in this capacity?
*
Please Select
Less than 1 year
1–3 years
3–5 years
5+ years
Why do you believe this nominee should be honored?
*
Upload any supporting materials (optional)
Browse Files
Drag and drop files here
Choose a file
Photos, flyers, testimonials, or links that support this nomination.
Cancel
of
Submit
Should be Empty: