2018 ChangeMaker Nomination

Snohomish County, YOU can nominate a ChageMaker!

Now accepting nominations for the 2018 ChangeMaker Awards! Do you know someone - or an organization - dedicated to making our county a healthier place? Someone who contributes in a special way to make our community safer, better, more beautiful for others? ChangeMakers are people whose efforts improve the lives of others and, in turn, create a healthier community through their passion for serving others.

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* 1. Please provide your contact information

Name

Email Address

Phone Number

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* 2. ChangeMaker Nomination Information (please fill out as much as you can)

Name

Organization/Company

City/Town

Email Address

Phone Number

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* 3. What category are you nominating this person for?

Individual (someone who saw a need and took action - outside of their job)

Community Organization (lesser known/grass roots organization, with minimal resources and visibility)

Cornerstone Organization (an established, publicly recognized organization with ample resources)

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* 4. What makes this individual/organization a true ChangeMaker?

The recipient saw a need and went above and beyond to solve for that need

Work addresses diverse needs and efforts with diverse groups

The work is an unexpected contribution (something that is not required of them, i.e. not part of their job)

The work exhibits a model of the difference that an individual or organization can make in improving the community’s health

Work shows diversity of outreach areas (geographical)

Work shows potential for future growth

Work has no barriers to use of service(s)

Promotion and increased awareness of this program will assist in the expansion of the service provided

Other (please specify)

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* 5. Please tell us a little more about this individual/organization and describe the specific work being done. How has this work changed the community, and why should this person/organization be recognized as a ChangeMaker? (no more than 300 words)

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* 6. Please tell us how did you heard about the ChangeMaker award?

Website

Newspaper Ad

Social Media

Edge of Amazing.org

Word of Mouth

Other (please specify)