Award Nomination Submission
Enter your contact details, the nominee’s information, select the award, and share your nomination reason (type it or upload a document).
Your Full Name
*
First Name
Last Name
Your Email Address
*
example@example.com
Your Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
Nominee's Full Name
*
First Name
Last Name
Nominee's Email Address
example@example.com
Nominee's Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
Which award are you nominating for?
*
Mary Maurer Volunteer of the Year Award
Mary Jane Palmer Nunlist 'I Love Middletown' Award
Why are you nominating this person? (You may either type your explanation below or upload a document with your explanation.)
Upload your nomination explanation (optional)
Upload a File
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