National Philanthropy Day Nomination Form

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Help us honor those that are making a difference through philanthropy!

Nominator Name *

Your Title *

Your Organization *

Your Email Address *

Your Phone *

Your Mailing Address *

Are you a member of AFP? *

Yes

If you are a member, what is your member number?

Name First and Last, Title, Organization of Co-Nominator (if applicable)

Nominee Name *

Nominee Title *

Nominee Organization *

Nominee Email Address *

Nominee Phone *

Nominee Mailing Address *

Nominee Website *

Suggested Award Category (Choose One) *

Please note that the judging panel reserves the right to reassign nominations to a different category based upon fit; categories may be segmented to permit multiple winners if appropriate (e.g. an Outstanding Foundation AND an Outstanding Corporation may be honored separately).

Outstanding Philanthropist or Charitable Family

Outstanding Volunteer Fundraiser

Outstanding Youth/Youth Group

Outstanding Civic/Service Organization, Corporation, Corporate Foundation, or Foundation

Please provide a brief bio of the individual you are nominating: *

1. Outline the nominee’s current and past affiliations and accomplishments with nonprofit organizations and civic/service clubs, including dates of service, board involvement and roles, etc.

2. Describe the impact of the nominee’s efforts, including a description of fundraising goals achieved by their effort.

3. Describe how the nominee has encouraged and motivated others to take leadership roles in philanthropy and community involvement.

4. Any other information you want us to know.

Thank you!

Should your nominee be chosen, we need your help to ensure we honor them in the best way possible. Please obtain a photograph for the awards presentation. The Outstanding Philanthropist or Charitable Family winner will be asked to speak at the awards presentation. The other winners will be recognized with their photo and information on a presentation slide.

This event is organized by volunteers; your assistance is necessary and appreciated.

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