VOLTA

Positive Impact Award – Individual – Nomination

About You
Your Name*
First Last
Your Organization*
Your Email*
Your Phone Number*
About The Nominee
Who are you nominating?*
How has this person developed and implemented solutions that have positively impacted the community at large?*
Please describe why you believe this person deserves to receive the Positive Impact Award.*
Please list any supplementary media clips to support the nomination below.
Please attach any supplementary documentation.

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