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Award Nomination  ·  Popular

Nominate a Community Leader of the Year Today

Easily collect nominations for your Community Leader of the Year Award with this structured, detail-rich form built for selection committees.

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Terra theme
formbuilder.ai/f/community-leader-of-the-year-award-nomination-form
Community Leader of the Year Award Nomination Form
Your Full Name
· · ·
Your Email Address
· · ·
Your Phone Number
· · ·
Submit

The Community Leader of the Year Award Nomination Form makes it simple for individuals and organizations to submit thoughtful, well-documented nominations for outstanding community leaders. The form captures nominator contact details, the nominee's background, areas of community impact, years of service, and compelling examples of their contributions—giving your selection committee everything it needs to make an informed decision.

This template is ideal for nonprofits, civic organizations, local governments, chambers of commerce, and community foundations that recognize exceptional individuals making a difference. By standardizing the nomination process, you ensure fairness, consistency, and thoroughness across all submissions.

With built-in fields for supporting evidence and references, nominators can provide a complete picture of their candidate's achievements. The form also includes a truthfulness confirmation to uphold the integrity of your award program. Get started for free and celebrate the leaders who make your community stronger.

3 Pages
20 Questions
~7min To complete
Free No credit card needed
Field types Email ×3 Short Text ×3 Long Text ×3 Full Name ×2 Phone ×2 Single Choice singlecheckbox Dropdown File Upload Website URL termsandconditions Signature

Questions in this template

Free template

The exact questions included — customize any of them to fit your needs.

Page 1 Your Information 5 questions
Your Information
Please provide your contact details so we can follow up regarding your nomination if needed.
1 Your Full Name * Full Name
2 Your Email Address * Email
3 Your Phone Number Phone
4 What is your relationship to the nominee? * Single Choice
5 I confirm that the information I provide in this nomination is truthful and accurate to the best of my knowledge. * singlecheckbox
Page 2 About the Nominee 9 questions
About the Nominee
Tell us about the community leader you are nominating. Please provide as much detail as possible to help the selection committee evaluate the nomination.
1 Nominee's Full Name * Full Name
2 Nominee's Email Address Email
3 Nominee's Phone Number Phone
4 Nominee's Organization or Affiliation Short Text
5 Primary Area of Community Impact * Dropdown
6 How many years has the nominee been active in community service? * Short Text
7 Describe the nominee's contributions and achievements in the community * Long Text
8 Provide a specific example of how this leader has positively impacted the community * Long Text
9 Why do you believe this person deserves the Community Leader of the Year Award? * Long Text
Page 3 Supporting Materials & Submission 6 questions
Supporting Evidence
Strengthen your nomination by providing additional references or supporting documents.
1 Name of a secondary reference who can vouch for the nominee Short Text
2 Secondary reference's email address Email
3 Upload supporting documents (letters of support, news articles, photos, etc.) File Upload
4 Link to any relevant article, video, or webpage about the nominee's work Website URL
5 I understand that all nominations are final, that the selection committee's decision is binding, and that I consent to the nominee being contacted as part of the evaluation process. * termsandconditions
6 Nominator's Signature * Signature

How to use this template

Click "Use This Template Free" to open it in the FormBuilder editor. From there you can add, remove, or reorder fields with drag-and-drop, switch themes for instant restyling, add your logo, configure email notifications, and set your success message. When ready, publish with a unique link and start collecting responses immediately.

  • Ready-to-use structure — pre-configured fields out of the box
  • Applied "Terra" theme — fonts, colors, and layout already set
  • Mobile-responsive — works on every device without extra configuration
  • Fully editable with drag-and-drop — change anything in seconds
  • Free to use on any plan, no credit card required

Use this template

Free to use. Open in the editor, customize, and publish in minutes.

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Category Petition & Voting
Subcategory Award Nomination
Theme Terra
Badge Popular
Price Free
Coding required None
Tags
Nonprofit Member Data Collection

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