Describe your Hero

(Click 2025 here for Hero Award category descriptions)

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1. Select the most applicable Hero Award category:

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2. Tell us about your Hero!

If this is a life-saving heroic event, please include:

  • Date within June 2024 - Present
  • Location of where the heroic action occurred
  • Circumstances surrounding how the Hero saved a life
  • Any other specific details that show the heroism of your nominee

If their heroic action is on-going (i.e. nonprofit) please include:

  • The organization's name, mission, website
  • Any statistics that show the impact made in the community
  • Any other specific details that show the heroism of your nominee

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3. Include any links to online articles, photos, or media coverage related to the act of heriosim:

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4. Hero Nominee Name

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5. Hero Nominee Prefix

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6. City Nominee Resides In

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7. Nominee Phone Number

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8. Nominee Email

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9. If other individuals supported this heroic action, please list the additional nominees' names (or indicate 'N/A')

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10. Additional Nominee(s) email address (or indicate 'N/A')

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11. Nominator Name (You!)

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12. Nominator Email

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13. Nominator Phone

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14. Nominator Relationship to Hero Award nominee(s)

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15. Nominator Occupation

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16. Witness Name

*A "Witness" is another individual that is very familiar with the nominee(s) heroic action(s) in the community, that can serve as a secondary point of contact for the Hero Nomination.

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17. Witness Phone Number

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18. Witness Email Address

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19. How did you hear about the opportunity to nominate a Hero for the 2025 Long Island Heroes Breakfast?

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