2026 Impact Award Nomination Form
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Nominator Information
Name *
Phone Number *
Email *
Address *
Business *
Position *
Are you a Chamber Partner? *
Nominee Information
Business *
Phone Number *
Address *
Representative *
Position *
Email *
Achievement and Nature of Service
1.) How has this business contributed to the welfare and betterment of the community? *
2.) Provide evidence of lasting contribution to the community and the impact that has resulted. *
3.) How has this business participated in community activities and civic enterprises? *
4.) Provide evidence of staff sustainability and business progress. *
5.) How has this business cooperated with individuals and civic organizations? *
