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Nomination Form- IMPACT St. Louis Awards
Please answer as many questions as are relevant. Not all will apply to each award. Thank you for your time in nominating an individual or organization.
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Email
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IMPACT Category *Notice categories are specified as Individual or Organization
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DREAM CHAMPION-INDIVIDUAL. Someone whose life’s work is to champion or mentor the dreams of others.
KINDNESS AWARD-INDIVIDUAL. Someone who has performed an act of kindness, big or small, in the past 12 months.
PERSON OF INSPIRATION-INDIVIDUAL. Someone who has experienced a major life challenge and now, by his/her example, inspires hope.
DREAM CHAMPION-ORGANIZATION. A company that champions the dreams of their employees through encouragement, coaching and actively promoting a holistic life.
COMMUNITY INVOLVEMENT-ORGANIZATION. An organization which encourages their employees to make a difference in our community.
INSPIRING HOPE-NONPROFIT ORGANIZATION. An organization that inspires hope and life-changing programs.
Name of Individual or Organization you are nominating: Hope Creates
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If an organization, please complete the following contact information.
If individual, press "Next" at the bottom of this form and skip to the questions about the Nominee on the following page.
Contact Information
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Title or Role
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Company Street Address
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City
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State
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Zip
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Email for key contact
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Key Contact phone number
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Name of assistant, if applicable
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