Nominate Someone — The Cali Effect
Submit a private nomination for consideration.
Recipient name
*
First Name
Last Name
Hospital, school, or organization
*
Role
*
Please Select
Nurse
Teacher
School Psychologist
School Employee
Other
Other — please specify
Reason for nomination
*
0/3000
Please do not include patient, student, medical, or other sensitive details.
Nominator name
*
First Name
Last Name
Nominator email
*
example@example.com
I don’t know the workplace delivery address.
I don’t know the workplace delivery address.
Workplace Delivery Address
Workplace street
*
City
*
State
*
ZIP
*
Building, department, or room
Only workplace addresses may be used, never a home address. Privacy policy:
https://thecalieffect.org/privacy/
I understand this nomination is private, selection is not guaranteed, and my contact details will be used to review and arrange this nomination.
*
I agree
Spam protection
*
Submit nomination.
Should be Empty: