Anthony Grassroots Prize Nomination Form

Nomination Deadline: March 22, 2019

Hint: Because this form unfortunately does not allow content to be saved, we recommend that you first collect the deliverables into a Microsoft Word or Google Doc prior to submitting.

Anthony Grassroots Prize Nomination Form
Please list the individual that you are nominating for the Anthony Grassroots Prize and the organization with which they are affiliated.
Submit a short (2 pages, 1000 words) letter describing the nominee and reasons for nomination.
Drop a file here or click to upload Choose File
Maximum upload size: 134.22MB
(Optional but encouraged) Add up to 2 pieces of additional background material such as press clips, flyers, or newspapers.
Drop a file here or click to upload Choose File
Maximum upload size: 134.22MB
(Optional but encouraged) Add up to 2 pieces of additional background material such as press clips, flyers, or newspapers.
Please include the reference's name, phone number, and email address.
Please include the reference's name, phone number, and email address.
Please add your name here, and other contact information below.
the content below is just for reference and will be deleted before launch