Community Builders Awards Nomination Form
This nomination form is for nominating a business to receive an award. To nominate under a different category, please return to and select the appropriate link.
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Contact Information - Nominator
Please provide your name and contact information. This allows us to correspond with you after the award winners have been selected by our panel.
Name *
Phone Number *
Email Address *
Street Address *
City/Town *
Postal Code *
Relationship to Nominee *
How did you learn about the Community Builders awards?
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Contact Information - Nominee
Please provide the name and contact information for the business you wish to nominate for an award. This will allow us to contact them if they are selected as a recipient.
Business Name *
Owner of Business (Name)
Phone Number *
Email Address *
Street Address *
City/Town *
Postal Code *
Summary of Community Involvement

This summary is your chance to tell the selection panel what makes the business you’re nominating so great and provide examples of how this business exemplifies giving back to the community.

To make your nomination as strong as possible, please consider the following questions:

  • Contributions to our community: What makes this business stand out?
  • Results/ Impact: Provide specific examples of how the business’s contributions have made a difference. What was accomplished? How is the community better because of the involvement of this business? Would the initiatives/ projects completed by this business have taken place without it?
  • Reach: How far does the impact go? Who has benefitted from the business’s actions? How has the business inspired others to get involved?
  • Other unique considerations: Is there anything unique we should know about the business or challenges it has overcome? 

Please provide a summary of the nominee's community involvement (directions above). *
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