Nomination Form

A.Nicole Presents: The Hidden Figures Awards

Nomination Online Application
Our mission is to honor the unseen, celebrate authenic impact, and remind our communities that significance is not measured by popularity, titles or social media presence but it is measured by the lives we touch,the communities we strengthen and the legacy we leave behind.
Nominator's Full Name

First NameLast Name
Nominator's Email Address
example@example.com
Nominator's Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Nominee's Full Name

First NameLast Name
Nominee's Email Address ( if known)
example@example.com
Address

CityState / Province

Postal / Zip Code
Nominee's Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Why are you nominating this person?
What impact have they made in their community?
What makes this person a 'Hidden Figure'?
Share a specific story or give an example that demonstrates their impact
Is there anything else you'd like the selection committee to know?
Certification
Signature
Should be Empty:

A.Nicole Presents: The Hidden Figures Awards