2017 Critical Impact Award Nomination

Question Title

* 1. How did you hear about this award opportunity?

Philanthropy WV member

Website

Media Outlet

Other (please specify)

Nomination Process/Guidelines

Nominations will be accepted for programs that demonstrate bold vision and strategic initiative by foundations or by corporate or government grantmaking organizations. They must have evidence of enduring positve impact and demonstrate philanthropic leadership. Special attention will be given to programs that show an unusual level of creativity, innovation and sustainability.

Each nominator must follow the outline of this application and answer each question completely within the format provided. The nominator may include and attach up to two items (no more) including:

additional references whom know the scope and extent of the nominee's contributions to the project. (It is the responsibility of the nominator to notify the reference(s) that they may be contacted.)
one additional item such as a newspaper article to highlight the accomplishments of the nominee.

Additional items should be in PDF format, no longer than 1 page in length and may be submitted by email to Philanthropy WV. Please title each document 2018SOPNom:NomineeName. Insert the same text in the subject line of the email. The nomination is to focus on current achievements (within the past 24 months). Each year the review committee only reviews new nominations and previous year’s nominations do not carry over for consideration in future years.

Please note that each question response below is limited to 2000 characters in length.

Question Title

* 2. Please provide the following contact information for the Nominee and yourself (the Nominator).

Name

Phone

Nominator Name

Nominator Phone

Nominator Email

Question Title

* 3. Please provide one reference that knows the scope and extent of the nominee’s activities. This individual may not be the nominator, a relative of the nominee, or the nominee. It is the nominator’s responsibility to please make the individual aware that he or she may be contacted.

Reference Name

Reference Phone

Reference Email

Question Title

* 4. About the Project: (Please focus your nomination on current work within the past 24 months.)

Dollar amount of the grant?

Time period of the grant?

Geographic area that benefited from the grant?

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* 5. If you were writing a newspaper headline describing the impact of the grant, what would it be?

Question Title

* 6.
Describe the project, including to whom the grant was made, strategies the nominee used to implement the project, and any barriers that were overcome.

2017 Critical Impact Award Nomination

Question Title

* 1. How did you hear about this award opportunity?

Question Title

* 2. Please provide the following contact information for the Nominee and yourself (the Nominator).

Question Title

* 3. Please provide one reference that knows the scope and extent of the nominee’s activities. This individual may not be the nominator, a relative of the nominee, or the nominee. It is the nominator’s responsibility to please make the individual aware that he or she may be contacted.

Question Title

* 4. About the Project: (Please focus your nomination on current work within the past 24 months.)

Question Title

* 5. If you were writing a newspaper headline describing the impact of the grant, what would it be?

Question Title

* 6.
Describe the project, including to whom the grant was made, strategies the nominee used to implement the project, and any barriers that were overcome.

Question Title

* 7. Describe the immediate and long term impact.

Question Title

* 8. How did the organization determine the need for this project within the community?

Question Title

* 1. How did you hear about this award opportunity?

Question Title

* 2. Please provide the following contact information for the Nominee and yourself (the Nominator).

Question Title

* 3. Please provide one reference that knows the scope and extent of the nominee’s activities. This individual may not be the nominator, a relative of the nominee, or the nominee. It is the nominator’s responsibility to please make the individual aware that he or she may be contacted.

Question Title

* 4. About the Project: (Please focus your nomination on current work within the past 24 months.)

Question Title

* 5. If you were writing a newspaper headline describing the impact of the grant, what would it be?

Question Title

* 6. Describe the project, including to whom the grant was made, strategies the nominee used to implement the project, and any barriers that were overcome.

Question Title

* 7. Describe the immediate and long term impact.

Question Title

* 8. How did the organization determine the need for this project within the community?

* 6.
Describe the project, including to whom the grant was made, strategies the nominee used to implement the project, and any barriers that were overcome.