Nomination Form

Section I

Nominee Information

Category:*
-- Select a Category -- The Bill Hughes Elected Official of the Year Award Blueprint Excellence Award Regional Organization of the Year Regional Project of the Year Regional Business of the Year Regional Citizen of the Year

Address:*

City:*

Zip Code:*

Phone:* (format: xxx-xxx-xxxx)

Email:* Please use valid email.

If nominee is a firm, group or organization, provide contact name:

One paragraph description of nomination: (This description will be used for publicity purposes if the nominee is selected.)*

Nominated By:*

Organization:*

Address:*

City:*

Zip Code:*

E-mail:*

Section II

Description of Program Activity or Nominee’s Contributions (Must be at least 250 words, not to exceed 1000 words or 500 characters)*

Describe the program, activity or nominee’s contributions to the region. Include any relevant information on the project (i.e.; timelines, number of people who worked on the activity, number of hours spent on the project, number of people served or affected, cost to those served, dates of program and cost of operation.)

Section III

Nominee’s Regional Significance and Results (Must be at least 250 words, not to exceed 1000 words or 500 characters)*

Explain how this nominee has significantly contributed to regional cooperation and success. Describe the impact and benefits to those served by the nominee.

Section IV - Optional

External Endorsements

Up to three letters of recommendation may be submitted below in a .pdf format. Each letter must identify the nominee and be in support of the organization, project or person.

Supplemental Materials

Up to three supplemental materials may be uploaded photographs, videos, marketing materials, press releases, media coverage or any other information that might assist the jury in making award decisions.

Files may be in .pdf, .jpg, .gif, QuickTime (.mov) Windows Media (.asf or .asx).