Influence Awards 2026

Influence Awards 2026

Nomination Form
The Influence Awards Gala is an evening dedicated to celebrating the incredible seniors in our community and the individuals who work tirelessly to support them.

If you know a senior ( 55+ ) or an individual/organization who supports them that deserves to be reconizaed please nominate them in the form below.
Nominee Name

First NameLast Name
Nominee Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Nominee Email
example@example.com
Age range of nominee
Please choose the award you would like to make the nomination in
Please describe why you believe this nominee is deserving of this award?
Is there anything else you would like us to know about this nominee?
Please upload any documents you would like to add regarding the nominee

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Your Name

First NameLast Name
Your Email
example@example.com
Your Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Should be Empty: