WebsiteHeader 1000x300 LAF2015

Extraordinary Pro Bono Contribution| Light a Fire

Awarded to an individual (or company) whose contribution of services, supplies, or time has had a major impact in the nonprofit community.

Submission Rules

All questions must be answered completely and according to directions to be considered. You may nominate in as many categories as you choose, and you may nominate the same organization in multiple categories. Winners are selected on the basis of community impact, and not number of nominations, so please complete only one nomination form per organization in each category.

Individual or company you are nominating *

Contact Info
Put us in touch with your nominee

Individual or company's email *

Individual or company's phone number *

Basic Stats
Please include the following to help us make fair comparisons between the nominated nonprofits.

What organization has the individual or company contributed to? *

How long has the organization operated? *

How long has the individual or company been contributing to this organization?

What has the nature of this contribution been? *

Tell Us

What is the organization's mission? *

Please give three specific, recent examples of how the individual's or company's contribution has made an impact on this organization. *

References

Please provide up to three names (with contact information) of individuals who can best testify to the individual or company's impact.

1. Name *


Contact information (phone and/or email) *

2. Name


Contact information (phone and/or email)

3. Name


Contact information (phone and/or email)

Your Information

In case we need to get in touch with you during the selection process.

Your name *


Your title

Name of organization you work for

Daytime phone number *

Your email *