The 2022 Community Builders Award Nomination Form

Community Builders Award Nomination Form 2022

Thank you for nominating a leader for the 2022 Community Builders Award. Before filling out the form below, make sure to review the selection criteria: https://evergreenleadership.com/wp-content/uploads/2022/07/2022-CB-info-page.pdf

Sponsor Name*
Sponsor Email*
Nominee Name*
Nominee Email*
Address*
City State
Phone*
LinkedIn/Online profile
Current Employer/Role
Where has this person exhibited leadership to make their workplace and community a better place?*
How have you seen this person collaborate with others?
How have you seen this person develop him/herself and others?
What, in your opinion, makes this person a good candidate for the Community Builder’s Award?*
Will this person be able to attend the Community Builders Retreat on October 8th and 9th?*
Award recipients will receive complementary accommodations and meals. They will only need to provide their own travel to/from Oakwood Center.
- Yes
- No
- Don't Know
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Submissions are due on or before August 31st at midnight. Recipients will be notified in September.