Served 4 Kindness Nomination Form
Please use this form to nominate an individual or group who demonstrated kindness through service as part of the Served 4 Kindness Project. Provide as much detail as possible to help the committee evaluate the nomination.
Your Name (Nominator)
Your Email Address
Your Phone Number (Optional, for follow-up)
Nominee's Full Name (If known, otherwise describe them)
Do you know the Nominee's contact information (e.g., email/phone)?
Yes, I know their contact info.
No, I do not know their contact info.
I only know their name/a way to identify them.
If you answered yes, please provide the Nominee's best contact information (Email and/or Phone Number).
What was the date or approximate date of the random act of kindness?
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Month
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Day
Year
Date
Where did this act of kindness take place (Location/City/Landmark)?
Please describe the act of kindness in detail. What exactly did the nominee do?
Did other witness this random act or do you have photo or video proof of the act, or an image of the nominee?
Yes, I have photo/video proof.
No, I only witnessed it.
Yes, but I would prefer to email it separately.
Please upload any supporting photo or video evidence (Maximum 3 files)
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Thank you for taking the time to shine the light on the good deeds done by others!
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