Herd of Hope Award Form

 

Thank you for deciding to nominate an individual, company or organization.

 

Please fill out all the fields below. If you have any questions, please contact us at 716-845-4373 or by email at info@herdofhope.org.


NOMINEE INFORMATION

 

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(Maximum response 255 chars, approx. 5 rows of text)

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(Maximum response 255 chars, approx. 5 rows of text)

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Question - Not Required - Is the nominee currently a part of the Herd of Hope? *



 

INFORMATION ON YOU

 

  Please provide your preferred contact information.

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Question - Not Required - Is your employer part of the Herd of Hope? *




 

* Special note: Being affiliated with the Herd of Hope will not increase chances of winning. We are just polling the community to see how well known the Herd of Hope initiative is.


   Please leave this field empty