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 (
) 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.
First and last name
What is your relationship to the change creator?
Name of Change Creator
First and last name or group/org name
Email of the Change Creator
Website of the Change Creator
Type of Entity
Cause they are helping
Arts, Culture, Humanities
Human and Civil Rights
Research and Public Policy
Why do you feel this change creator should be profiled on Create Change?
Send me a copy of my responses.
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