If you need help with this form, ask someone you trust, like a friend, family member, service provider or co-worker. During COVID-19, this might mean you are asking for help on the phone, through Skype, FaceTime or other software.
When you fill out this form, please tell us as much as you can about how the person you nominate is helping people Stay Connected while Staying Safe during COVID-19. Your answers will be used by the evaluation committee to choose this year’s Award winners.
The nomination deadline is August 31 at 5:00pm.
If you have any questions, please email: firstname.lastname@example.org.