Nominee Form

Nomination Form

Entrants must be eighteen (18) years of age or older by date of entry and accessible via both e-mail and phone.

Please complete this form and submit it along with the required supporting documentation noted below. The nomination submission period for the 2019 Acts of Kindness Awards ends on October 1, 2018.

NOMINATOR:

* Indicates required field

Prefix *

Name *

First

Last

Suffix *

Employer *

Title *

Business Address *

Line 1

Line 2

City

State

Zip Code

Country

Business Phone *

Mobile *

Email *

Relationship to Nominee(s) *

I wish to nominate the person/group below for the following award category: (Limit one (1) entry per Award Category)

Award Categories *

Humanitarian Award Outstanding Human Service Award Good Samaritan-S/Hero Award Outstanding Community Service Award

NOMINEE (If a group nomination, please list key contact person):

Prefix *

Name *

First

Last

Suffix *

Name of Group: (If group nomination) *

Are you or is the nominee (and all other entrants, if a group nomination) eighteen (18) years of age or older? *

Address *

Line 1

Line 2

City

State

Zip Code

Country

Best day/time to be contacted *

How have you or the entrant(s) being submitted met the criteria for the selected award category? Include specific examples. Attach additional documentation, if needed. *

Acknowledgement *

I confirm that the following provided on this Nomination Form is accurate. I hereby endorse the nomination.

*E-MAIL REQUIRED SUPPORTING DOCUMENTATION TO:
(w.adams@accoladecelebrations.com by October 1, 2018)

Current biography
Recent color photograph

OTHER INFORMATION:

Completed Nomination Forms and supporting documentation can also be mailed to: Accolade Celebrations, LLC, Attn: Nominations, 1177 Annapolis Road, Suite #517, Odenton, MD 21113
For details about the awards event, official rules, eligibility submission requirements, the award prize, etc., please visit our website at www.accoladecelebrations.com or call (844) 9-AWARDS.

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