Excellence in Action Changemaker Nomination Form Nominator Information * First Name Last Name Address Address 1 Address 2 City State/Province Zip/Postal Code Country Phone * (###) ### #### Email * Nominee Information * First Name Last Name Address * Address 1 Address 2 City State/Province Zip/Postal Code Country Phone * (###) ### #### Email * Describe your relationship to/with the nominee (limit 100 words) * How has the nominee demonstrated that they are actively dedicated to Racial Justice and/or Civic Engagement in the Greater Grand Island Community? Give specific examples of work they have done in this impact area (limit 500 words) * Please outline the nominee's community involvement, volunteer activities, and her investment in the community. (List projects and/or organizations where the nominee served) and any awards they have received)? (limit 250 words) * Please provide any additional facts the judges should know relevant to the nomination. (limit 250 words) * Thank you for your submitting your nomination for the 2025 Excellence in Action Changemaker Honor. Nominees will be selected by July 18th. The recipient and their nominator will be notified by July 21st. If you have any questions, please contact Amy Bennett, at abennett@ywca-gi.org.
