Community Hero Nomination

Your Full Name

Your Email Address

Nominee's First name

Nominee's Last name

Nominee's Email Address

Nominee's Phone Number

Do they know they have been nominated?

Yes

No

Non-Profit Name:

What inspired you to nominate this person as a community hero, and what impact have they had on you personally?

Can you describe the work they do in the community and the specific issues they are addressing?

How has their work made a difference in the lives of individuals or the community as a whole?

What qualities make them stand out as a leader and role model in the community?

Can you share a story or example of a time when their efforts brought about positive change or inspired others?

How do they go above and beyond, even when facing challenges or limited resources?

In what ways have they motivated others in the community to get involved or take action?

What are the specific skills, talents, or approaches that they bring to their community work?

What do you believe are their goals for the future of their work, and how do they plan to continue making an impact?

How can readers or members of the community support or get involved in the work they’re doing?

Do you think they would be open to an interview with us?

Yes

No

Please upload any pictures or videos you may have of them

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