Actions

10News Leadership Nomination Form

and last updated

Nominee Full Name

Organization Name

City

Nominee Contact Email

Nominee Phone Number

Nominator

Your City

Nominator Contact Email

Nominator Phone Number

How has the nominee or organization contributed to the wellbeing of their community?

Provide examples of how the nominee embodies excellence in leadership.

Why does this nominee deserve this award?

People served

Is nominee still involved?

Volunteer or paid?

How long has the program been around?

Website and/or social media accounts

Relationship to the nominee

Human verification