Who Powers You Nomination Form

Nominee Information

Nominee Contact

Nominator Information

Nominating Contact
What hands-on work did the nominee engage in? (e.g. with who,  what, where, how)
What is at least one rich example of how the nominee’s contributions improve or change people’s lives?
What sets the nominee apart in terms of their character and/or commitment to community?
The submitted photo may illustrate the the work of the nominee or the nominee in action.
One file only.
100 MB limit.
Allowed types: gif, jpg, png, svg.
Please add a caption for the photo submitted.
Type your name here to indicate your agreement with this statement: I have read the requirements and have the nominee's permission to submit their name for the Who Powers Contest.