Achievement Nomination Form

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Contact Information

Please provide your name, e-mail, address and phone number. If you are not the most appropriate contact, please provide the contact information for the best person to answer questions about the nomination.

Name *

E-mail *

Mailing Address *

Telephone *

Acheivement Information

Please fill in the information below about the nomination.

Choose an Award Category *

Please choose an award category from the list below. Descriptions of the award categories can be found at: baltimoreheritage.org/awards

Heritage Preservation Award

Historic Baltimore Neighborhoods Award

Douglas H. Gordon Award for Lifetime Achievement in Historic Preservation

Name of Achievement Award Nominee *

Please provide the name of the individual or organization.

If the nominee is an organization, please provide the name of a contact person.

Nominee Phone Number

Nominee E-mail

Nominee Mailing Address

How will you submit your photos? *

Appropriate photographs of the nominated organization or individual are encouraged. Please submit images as jpegs by e-mail or on CD,

E-mail to awards@baltimoreheritage.org

CD: mail to Baltimore Heritage, 11 1/2 W. Chase St., Baltimore, MD 21201

Description *

In 100 - 500 words, tell us about why you are making this nomination for a Preservation Achievement Award.

Submit

Thank you for submitting your nomination for a Baltimore Heritage Preservation Award. Complete your nomination by selecting submit at the bottom of this page. Questions or suggestions? Get in touch with Johns Hopkins at 410-332-9992 or hopkins@baltimoreheritage.org.

Questions or comments?

Submit

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This form was created inside of Baltimore Heritage.