Nomination Form

Tell us About Yourself (You are “The Nominator”)

First Name *

Last Name *

Phone Number *

Email *

Address *

Address

City

State/Province

Zip/Postal

County *

(Bergen, Camden, Essex, etc.)

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

First Name *

Last Name *

Phone Number *

if known

Address *

Address

City

State/Province

Zip/Postal

County *

(Bergen, Camden, Essex, etc.)

Name of Organization

If there is a website featuring the nominee or their organization, please provide a link:

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.

How has the Nominee "made a difference" in the lives of others, or in the community? Why is this work important? *

What are the Nominee’s major accomplishments? *

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?

Please answer this in your own words. "This person should receive the Russ Berrie Making a Difference Award because..." *

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

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Tell us About Yourself (You are “The Nominator”)

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