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>> Nomination Form
>> Arts Award Nomination Form

Union Square Award - Nomination Form
Asterisk (*) indicates required fields
*Organization:
Year Founded:
Name of Founder(s):
Address:
City:
State:
Zip:
Telephone:
Email:
Website:
Name of Executive Director if other than founder:
Organization's Mission: Maxiumum of 90 words
Founder(s) name(s) and role(s) in forming organization: Maxiumum of 35 words
Describe organization's activities and programs: Maxiumum of 300 words
Number or people served annually:
Reasons why this organization should be considered for the Award: Maxiumum of 200 words
Nominator's relationship to the organization:
Nominator's Name:
Nominator's Phone:
Nominator's Email: