2026 Agent of Peace

2026 Rotary District 6270 Agent of Peace Award Nomination Form

Nominations are due by Monday, August 31, 2026 - 5:00 pm
About the Award

The Agent of Peace Award recognizes individuals across eastern Wisconsin who have made exceptional, voluntary contributions to peacebuilding and humanitarian service – beyond the scope of their paid professional responsibilities. Two honorees may be selected: one community member (non-Rotary member) and one Rotary member. Learn more at: https://rotary6270.org/page/agent-of-peace/.
- Your Name
  
  First NameLast Name
- Your Email Address
  example@example.com
- Your Phone Number
  
  Area CodePhone Number
- Affiliation:
- Nominee's Name
  
  First NameLast Name
- Nominee's Email Address
- Nominee's Phone Number
  
  Area CodePhone Number
- County of Residence or Primary Peacebuilding Activity (must be in District 6270):
- Affiliation:
- Is this nomination for voluntary work outside of the nominee's paid professional role?
- Please answer the following questions. Be specific and include examples when possible.
- Describe the nominee's work and the community needs or injustices it addresses.
- How did the nominee come to this work? Describe the moment, experience, or conviction that led them to commit their time and energy to peacebuilding.
- Who has benefited from the nominee's work, and how? Include concrete examples where possible.
- Is the nominee's work ongoing, or has it created lasting change? Describe how their efforts continue to benefit others over time.
- How does the nominee demonstrate Service Above Self? Describe their character, leadership, and commitment to others.
- Does the nominee's work build bridges – locally, regionally, or internationally? Describe efforts to foster understanding, cooperation, or goodwill across communities or cultures.
- You may upload supporting materials such as: Letters of support, Photos or media coverage, Project websites, & Videos or testimonials.
  
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- You may provide links to supporting materials such as: Letters of support, Photos or media coverage, Project websites, & Videos or testimonials.
- I confirm that all information provided is accurate to the best of my knowledge.
- I understand this nomination will be reviewed by the Rotary District 6270 selection committee.
- I understand that the selection committee may contact the nominator, nominee, or others as part of the review process.
- For questions, contact Rotary District 6270 at:
  
  Email: peace@rotary6270.org
  Website: https://rotary6270.org/page/agent-of-peace/
- Should be Empty:

2026 Rotary District 6270 Agent of Peace Award Nomination Form

About the Award