Seneca County Collaborative Annual Awards – Nomination Form

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Which award are you nominating for?

Nominee Name (Individual or Organization)

Business / Organization Name (if applicable)

Nominee Title / Role (if applicable)

Phone Number (if known)

Information Documents Phone

Email Address (if known)

Your Name

Your Organization (if applicable)

Your Email Address

Your Phone Number

This is the most important section. Don’t overcomplicate it, but make it meaningful.

Why are you nominating this individual, organization, or project?

Please provide a clear summary of why this nominee deserves recognition.

Describe the impact of their work.

What has changed, improved, or been created as a result of their efforts? Include specific examples when possible.

What makes this nominee stand out?

What sets them apart from others? This could include leadership, innovation, collaboration, growth, or community influence.

Additional details or supporting information

Include any additional context that may help the review committee.

Examples may include photos, articles, links, or other materials that support this nomination.

Upload Supporting Documents or Images

Click or drag files to this area to upload. You can upload up to 25 files.