Culture Snaps Nomination Form Question Title 1. Name of nominated Person/Place/Thing Question Title 2. Address (physical if possible –website or social media address allowed) Question Title 3. Neighborhood represented/impacted Question Title 4. Why should your nomination be featured? Explain: What the person/place/thing done, the impact (if event please include attendance), community benefits, quality of programming and potential legacy, addressing community needs, encouraging others to support the arts, etc. Question Title 5. Supplemental MaterialImages/flyers etc. PDF, DOC, DOCX, PNG, JPG, JPEG file types only. Choose File Choose File No file chosen Remove File Supplemental MaterialImages/flyers etc. Question Title 6. Additional affiliation if known.ie. Year of Chicago Music, Invest SouthWest, previous DCASE grantee Question Title 7. Contact info for nominee Name City/Town ZIP/Postal Code Email Address Phone Number Question Title 8. Nominator name and organization/etc. Name Company Address City/Town ZIP/Postal Code Email Address Phone Number Done