Mother & Father Award Nomination Form "*" indicates required fields X/TwitterThis field is for validation purposes and should be left unchanged.Nomination Type Nominating someone Applying for self Nominator InformationNamePhoneEmail City/StateRelationship to nomineeLength of relationshipNominee InformationNameContact infoCity/StateAwareness of nomination Yes No Not sure Family InformationNumber of childrenAgesHousehold type (single parent, etc.)Essay (Main Section)Prompt*“Write an Essay/summary of why you think the person you are nominating should be mother or father of the year.”Current Challenges Financial hardship Medical challenges Loss Employment issues Other optional explanation How the Award Would HelpHow would this award assist you?*How would this award assist you in moving forward or obtaining your goals? Photo Upload (Optional)Max. file size: 2 GB. Agreements Information is accurate Submission does not guarantee selection Foundation may contact nominee Recognition Preference Public recognition Private recognition Follow-Up Permission May we contact you if needed?
