To submit your nomination, complete this questionnaire. Please provide your contact information, as EWG may follow-up with you for additional information on your nominee.

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* 1. Your contact information:

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* 2. Who is your nominee?

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* 3. In 50 words or less, please share why your nominee should receive the Chris Campbell Award for Excellence in Information Technology and Digital Mobilization in the Nonprofit Community.

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* 4. Please provide examples that show how your nominee has demonstrated leadership, innovation, and creativity in the use of technology for nonprofits to mobilize individuals for social change. We encourage you to include links to the nominees online bio, examples of his or her work, press coverage and/or other relevant supporting URLs.

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