Agnes L. Colgan Nomination Form

All nominees should meet the following basic requirements:

Nominees need not be a PW Chamber Member,
These two awards are the only awards that allow non-members to be nominated.
Must be a viable, 501(c)3, which has maintained stability
Excellent reputation in the community
Nomination must be received by 12/22/21

If you want to nominate a for profit organization that is doing amazing things in the community? Nominate them for the Community Outreach Award HERE.

Winners of the Agnes L. Colgan Community Service Awards will receive $1,000 to allow them to continue to help the community.

2022 Agnes L. Colgan Nomination Form

Nominee Info (Business Nominated):

Nominee Contact Name *

Nominee Company/Organization *

Nominee Phone *

Nominee Email *

Award Category *

Arts & Education

Health & Human Services

Is this organization a nonprofit/501(c)3 organization?

Yes

I am unsure

Submitted By:

Your Name *

Your Company/Organization *

Your Phone *

Your Email *

About the Nominee:

Provide a brief summary of why you feel the nominee should be selected as an Agnes L. Colgan Award winner. *

Where possible please include statistical details regarding number of people helped and stories from those helped

Is this a self nomination?

Yes

Agnes L. Colgan Nomination Form