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2022 Nomination Form

Nomination Form 2022

Tell us About the Person you are Nominating (The “Nominee”)

if known
Address *
Address
City
State/Province
Zip/Postal
(Bergen, Camden, Essex, etc.)

Tell us About Yourself (You are the "Nominator”)

Address *
Address
City
State/Province
Zip/Postal
(Bergen, Camden, Essex, etc.)

How long have you known the person you are nominating (The Nominee)? *
What's the age range of the Nominee? *
How do you know the Nominee? *
How long has the Nominee been doing this work?
Is the Nominee part of a nonprofit organization? *
What is the Nominee’s role in the organization? *

This is your chance to tell us why this person should receive the Russ Berrie Making a Difference Award. Please provide as much information as you can about the person and what he/she has accomplished to help others in New Jersey. Please limit each answer to 500 words.

For example: How many people have been helped? How have people’s lives been changed? How has the community improved? Has the organization grown to reach more people around the state or the country? Did the nominee perform an act of heroism or a heroic rescue?

You may attach up to 3 documents (such as articles or reports) about the nominee, not more than 6 pages total, by clicking on the buttons below. If you have any additional questions, please email madaawards@ramapo.edu.

File Upload
Maximum upload size: 52.43MB
File Upload
Maximum upload size: 52.43MB
File Upload
Maximum upload size: 52.43MB
How did you learn about the Russ Berrie Making a Difference Award? *
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