Elgin Image Awards Nomination Form 2023
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NOMINATOR INFORMATION
First Name *
Last Name *
Title
Organization (If Applicable)
Email
Address Line 1
Address Line 2
Phone *
City
Zip Code
Website (If Applicable)
NOMINEE INFORMATION
First Name *
Last Name *
Title
Organization (If Applicable)
Phone *
Email
Address Line 1
Address Line 2
City
Zip Code
Website (If Applicable)
TELL US ABOUT THE NOMINEE
Select a Nomination Category from the Drop Down List *
Enter required value
Professional Rockstar
Volunteer Extraordinaire
Gamechanger Project
Creating A Difference Group/ Green Initiative/Sustainable Business of the Year
Creating a Difference Groups/ Excellence in DEI or Building Equity
Creating a Difference Groups/ Youth Service Project (for people 21 and under)
Green Initiative/Sustainable Business of the Year
Describe the volunteer community service performed by the nominee: *
Describe the impact on Elgin by the nominee: *
Describe the levels of effort and initiative displayed by the nominee: *
Describe how the nominee will inspire others in the community: *
Describe the lasting legacy of this nominee: *
Describe how the nominee has positively impacted the lives of others in our community: *
Describe how the nominee’s service fosters a spirit of service, citizenship, and responsibility: *
Describe what makes this nominee unique: *
FILE UPLOADS
Upload Nominee Photo 1 *
20MB max
