JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
Community Hero of the Month Nomination Form
Nominate someone in your community who goes above and beyond to help others. Monthly winners will receive a donation valued at $200 from The Good Sport towards the actions they are taking to improve the community. Winners will be announced on the first day of the month and a representative will contact the winner to arrange the prize.
Sign in to Google
to save your progress.
Learn more
* Indicates required question
Name of Individual You are Nominating (First and Last).
*
Your answer
Phone Number of the Nominee
*
To contact the nominee in the event that he or she is the winner.
Your answer
Please provide a detailed explanation of what this individual is doing to improve his or her community and/or the lives of those who share it.
*
Your answer
If possible, please provide another reference who is able to verify the good work of this individual, which you described above (Full Name and Phone Number).
If you are not able to provide another reference, it WILL NOT disqualify the nominee.
Your answer
Please provide your name (First and Last).
*
Your answer
Please provide your phone number.
*
We may need to contact you for clarification or further information.
Your answer
Submit
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google.
Report Abuse
-
Terms of Service
-
Privacy Policy
Forms
