* 1. What is your name and the best way to reach you?

* 2. What is the nominee's name:

* 3. How can we best reach the nominee? Please provide email or phone #.

* 4. What school, organization or agency is the nominee associated with?

* 5. The Lucille E. Hill Award is presented to someone who goes above and beyond to impact the lives of children and those around them without seeking recognition or praise. How does this nominee demonstrate that quality? Please give specific examples. (Up to 500 words)

* 6. Please list 5 adjectives that describe your nominee.

Thank you for your nomination! All nominees will receive recognition of their nomination.