Nomination Form
Project Reclamation invites the community to nominate individuals and families for upcoming programs, celebrations, and recognition experiences. Nominations help us identify individuals who may benefit from support, celebration, or acknowledgment through our events and initiatives. Submitting a nomination does not guarantee selection but ensures individuals are thoughtfully considered.
1. Choose the Award/ Gift
Award Categories (You may nominate more than one person, but please complete a separate form for each nominee.).
*
Graduate
Appreciation Banquet
“Men in Art” Gallery Experience
Baby Shower
2. Your Information (Nominator)
Nominator's Name
*
First Name
Last Name
Nominator's Phone Number
*
-
Area Code
Phone Number
Nominator's Email
*
example@example.com
Your Relationship to the Nominee
Please Select
Self
Family Member
Friend
Community Member
Organization/Program
3. Nominee's Information
Nominee's Name
*
First Name
Last Name
Nominee's Company/Contractor
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Best Contact Method for Nominee (if known)
Phone
Email
Social Media
Unknown
4. Nominee's Profile
Please select the correct category and fill out the additional questions is accordance ti the selected section.
👨👩👧👦 If Nominating for The Community Baby shower
What type of support or recognition would be meaningful for them?
How many children are in the household?
Name(s) of the bab(ies) were celebrating
Upload a image of the Nominee(s) or any additional requested document(s).
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🎓 If Nominating a Graduate:
Graduation Year:
2025
2026
What makes this graduate’s journey meaningful or deserving of recognition?
🎨 If Nominating for “Men in Art” Gallery:
Artistic medium (if known):
Painting/Drawing
Visual Art
Photography
Mixed Media
Writing
Other
Why would their voice or story be impactful in a gallery space?
Has this individual previously shared their work publicly?
Yes
No
🍽️ If Nominating for Men’s Appreciation Banquet:
What contributions or qualities should be recognized?
5. Reason for Nomination
Reason for nominating this person relevant to nomination award criteria.
No less than 200 words
List qualifications and experience relevant to nomination category.
Upload a image of the Nominee(s) or any additional requested document(s).
Browse Files
Drag and drop files here
Choose a file
Max file size: 10mb
Cancel
of
Save
Submit
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