Nomination Form
Award Category:
Nominee Information
Nominee Name:
Contact Name:
(if Nominee is a company)
Contact Title:
Nominee Address:
City:
State:
Zip Code:
Nominee Phone:
Nominee E-mail:
Website Url:
Nominator Information
Nominator Name:
Name of CEO:
(If nominator is a business, please complete this field.)
Nominator Title:
Nominator Phone:
Nominator E-mail:
Nominator Address:
City:
State:
Zip Code:
Your Nominee must meet the following criteria:
All are required.
Nominee resides in or impacts an agency in Lake, Orange, Osceola, Seminole or Volusia County
Nominated organization is a 501(c)(3) nonprofit organization registered in the five county area
(applicable to AFP non-profit organization nominees)
Nominee has not previously received an award in the same category within past five years
(please see History of Award Winners.)
Nominee’s permission has been obtained and nominee agrees to be present at National Philanthropy Day
Your nomination must include a narrative summary up to 500 words.
Please select an Award Category (above) to view nomination instructions.
Uploadable document file extensions are limited to: pdf, doc, docx, rtf
Nomination submitted electronically by
Friday, July 8, 2022, 11:59pm