WebsiteHeader 1000x300 LAF2015

Lifetime Achievement | Light a Fire

Awarded to an individual who has showed a tireless commitment to the nonprofit community over a lifetime of service.

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 you are nominating *

Contact Info
Put us in touch with your nominee

Individual's email *

Individual's phone number *

Service History
What organizations has the nominee served on (in chronological order, including dates of service)? You may either upload a Word document or fill out the fields below.

Upload a Word document

1. Name of Nonprofit, Service Type (volunteer, board member, etc.)

1. Dates of Service

2. Name of Nonprofit, Service Type

2. Dates of Service

3. Name of Nonprofit, Service Type

3. Dates of Service

4. Name of Nonprofit, Service Type

4. Dates of Service

5. Name of Nonprofit, Service Type

5. Dates of Service

Nomination Statement
Please describe three to five major achievements of the nominee. Be as specific as possible, with statistics and/or clear statements of measurable impacts.

References
Please give three to five names (and contact information) of colleagues or beneficiaries who are in a position to speak with great authority about the nominee’s achievements.

1. Name *


Contact information (phone and/or email) *

2. Name *


Contact information (phone and/or email) *

3. Name *


Contact information (phone and/or email) *

4. Name


Contact Information

5. Name


5. Contact Information

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 *