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 ends on October 2, 2017.

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 2, 2017)

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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