Outstanding Change Creator Form
If you know of an organization, group or individual creating a great deal of positive change in your community, we'd love to hear about it. Please fill out this nomination form to have a profile of them published on our website (createchange.me) and on our related social media platforms. If the change creator you nominate is selected, we'll contact you with details about how we will proceed. Please note that you are allowed to nominate yourself or a group/organization you participate in. Thanks for sharing the good news about what's happening in your community. We appreciate your interest.
Email address *
Your Name *
First and last name
Your answer
Your Email *
Your answer
What is your relationship to the change creator? *
Required
Name of Change Creator *
First and last name or group/org name
Your answer
Email of the Change Creator *
Your answer
Website of the Change Creator
Your answer
Type of Entity *
Required
Cause they are helping *
Required
Why do you feel this change creator should be profiled on Create Change? *
Your answer
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