Special Honors Nomination Form

2024 National Philanthropy Day Celebration

Friday, November 15, 2024

Rosen Shingle Creek

7:45 AM NETWORKING | 8:30 AM PROGRAM BEGINS

Nomination deadline is Friday, May 31, 2024

Download Nomination Packet

Nomination Form Submission

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Nominator Information:

This is the information for the person or organization submitting this nomination form. You will be the main contact for the notification of results.

Nominator Name:

Name of CEO:

Nominator Title:

Nominator Phone:

Nominator E-mail:

Nominator Address:

City:

State:

Zip Code

Primary Contact Name:

Primary Contact Phone:

Primary Contact E-mail:

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NOMINATION FORM

Special Honors Category for Nomination:

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Nominee information

Nominee Name:

Contact Name:

Contact Title:

Nominee Address:

City

State:

Zip Code

Nominee Phone:

Nominee E-mail:

Website Url:

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Your Nominee must meet the following criteria: All are required.

History of Award Winners

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Nominee resides in or impacts an agency in Central Florida.

Nominee has not previously received an award in the same category within past five years (please see History of Award Winners above).

Nominee’s permission has been obtained for award submission.

Nominee agrees to be present at National Philanthropy Day, November 15, 2024 and understands that a ticket must be purchased.

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Nomination

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Please submit a narrative summary up to 500 words detailing the nominee's accomplishments as it pertains to the category. We ask that projects or accomplishments occurred within the last 3 years. (See Award Criteria for more details.)

This field cannot be left blank.

Narrative

Please upload any supporting documents as one file. Please do not submit resumes. Upload size limited to 10 MB

Upload File. Please name your file: NOMINEENAME.supporting.CFNPD24

Upload High-Res Image for Nominee to be featured in Orange Appeal and in promotions if selected as winner. Acceptable formats: .jpg, .png, .tiff. Upload size limited to 10 MB

Upload Image. Please name your file: NOMINEENAME.CFNPD24

Electronic Signature

Submission Date

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By clicking the Submit Form button below, you are agreeing that all information provided is accurate and complete.