Asian Pacific American Community (APA) Change Maker Award: Nomination Form
The Coalition for Asian American Children and Families (CACF) is announcing the inaugural APA Community Change Makers Award to recognize staff of CACF member organizations who are committed to building community empowerment and creating opportunities for systems change.

Please help us identify staff members who are deserving of this recognition. Nominees must be staff of a CACF member organization. The awardee will be recognized at a July 2018 summer cocktail reception.

Nominees should demonstrate commitment and leadership in any combination of the following:

• Making change that has a broad community impact
• Building community empowerment
• Implementing innovative strategies that create opportunities for change
• Promoting growth and self-efficacy for under served populations
• Inspiring positive change amongst other staff and/or community members
• Strengthening social justice advocacy

**Please complete this nomination form by May 15, 2018**

All nominations will be reviewed by committee and awardees will be announced by mid June.

Name of Nominee *
Title of Nominee *
Name of Organization: *
Email Address of Nominee: *
Phone number of Nominee: *
Name of Person Nominating *
Title and Organization of Person Nominating *
Email of Person Nominating: *
Phone Number of Person Nominating: *
What characteristics in this person demonstrate the qualities of being a Community Change Maker? Please provide examples wherever possible. *
What specific activities and/or accomplishments demonstrates the nominee’s commitment to addressing systemic and/or to creating a positive impact on the APA community in NYC? *
Please upload the Nominee's most recent resume (as a document or PDF) *
Required
All nominations must be submitted by May 15, 2018
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