Nominate a Community Builder

Community Builders Award Nomination Form 2019

Thank you for nominating an leader for the 2019 Community Builders Award. Before filling out the form below, make sure to review the selection criteria outlined here: https://ktaylor.wpengine.com/wp-content/uploads/2019/07/CB-one-pager-2.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 4th & 5th?*
Award recipients will receive complementary accommodations and meals. They will only need to provide their own travel to/from Oakwood Center.
- Yes
- No
SIgn Up for Newsletter
- I would like to receives tips & updates by signing up for the Evergreen Leadership newsletter.
Submissions are due on or before August 31st at midnight. Recipients will be notified by early September.

Let your friends know about your nomination!