2018 Corporate Responsibility Impact Awards

Nomination Form

Please share your contact information, then select the award for which you're submitting a nomination.

Your Name*

First Name

Last Name

Email*

Title*

Company*

Phone*

Which Corporate Responsibility Impact Award will this nomination be for?*

Please select one. If you are submitting nominations for multiple categories, please complete a new form for each submission. Thank you!

Emerging Practitioner of the Year Nomination Form

Corporate Responsibility Impact Awards, presented by Silicon Valley Community Foundation

The Emerging Practitioner of the Year Award will be given to an emerging change maker who strives for excellence in the practice of corporate responsibility. This award is an opportunity to recognize the work of an emerging colleague in the field.

Please note: An "emerging practitioner" is an individual who joined the CR field less than 3 years ago.

Nominee Information

Emerging Practitioner's Name*

First Name

Last Name

Email*

Title*

(Optional) Phone

Number of Years in CR*

Nominee's Company Information

Company Name*

Company Type (Public/Private)*

(Optional) Additional Corporate Responsibility Contact

Please provide information for the nominee's company's primary CR contact, or a back-up contact if that person is you.

Contact's Name

First Name

Last Name

Title

Phone

Nomination Questions

Please describe the nominee’s contribution to the CR field. Include examples of leadership and/or projects the nominee has supported in his or her career.*

Describe reasons why you think the nominee is on a great trajectory to make a difference in the CR field. Include volunteer efforts, board memberships, event leadership, etc.*

(Optional) Is there any additional information you wish to include about this nominee?

(Optional) Logos and Photos

Please provide images to depict the nominee in the Corporate Responsibility Impact Awards' publicity and event materials.

Upload the nominee's headshot

No File Chosen

File uploads may not work on some mobile devices.

jpg, jpeg. png, pdf, gif, tif files accepted

Upload the company's logo

No File Chosen

File uploads may not work on some mobile devices.

jpg, jpeg. png, pdf, gif, tif files accepted

Practitioner of the Year Nomination Form

Corporate Responsibility Impact Awards, presented by Silicon Valley Community Foundation

The Practitioner of the Year Award will go to an individual who sets the gold-standard example for his or her efforts in corporate responsibility. This is a prestigious award that gives the CR community the chance to recognize and celebrate the work of a leading colleague, peer or client in the field.

Nominee Information

Practitioner's Name*

First Name

Last Name

Email*

Nominee's Title*

(Optional) Phone

Number of Years in CR*

Nominee's Company Information

Company Name*

Company Type (Public/Private)*

(Optional) Additional Corporate Responsibility Contact

Please provide information for the nominee's company's primary CR contact, or a back-up contact if that person is you.

Contact's Name

First Name

Last Name

Title

Phone

Nomination Questions

Please describe the nominee’s impact on the field in CR. Include examples of leadership, advocacy and innovation in the field throughout his or her career.*

Describe the nominee's personal dedication to corporate responsibility. Include volunteer efforts, board memberships, event leadership, etc.*

(Optional) Is there any additional information you wish to include about this nominee?

(Optional) Logos and Photos

Please provide images to depict the nominee in the Corporate Responsibility Impact Awards' publicity and event materials.

Upload the nominee's headshot

No File Chosen

File uploads may not work on some mobile devices.

jpg, jpeg. png, pdf, gif, tif files accepted

Upload the company's logo

No File Chosen

File uploads may not work on some mobile devices.

jpg, jpeg. png, pdf, gif, tif files accepted

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