Elgin Image Awards Nomination Form

Organization (If Applicable)

No

Title

First Name

Last Name

Suffix

Phone

Email

No

Address Line 1

Address Line 2

City

State

Zip Code

Website (If Applicable)

NOMINATOR INFORMATION

Organization (If Applicable)

No

Title

First Name

Last Name

Suffix

Phone

Email

No

Address Line 1

Address Line 2

City

State

Zip Code

Website (If Applicable)

PROFILE

TELL US ABOUT THE NOMINEE BY PROVIDING BRIEF DESCRIPTIONS TO THE FOLLOWING QUESTIONS: Fields are lim

Select a Nomination Category from the Drop Down List

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)

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:

Please upload a file of support material(s)