Nomination Form | Indianapolis Youth Development

READ HERE BEFORE BEGINNING
Thank you for your interest in nominating an outstanding individual for an award at the upcoming Minority Achievers Awards and Scholars Gala. NOMINATOR IS RESPONSIBLE FOR SECURING NOMINEE SEATING FOR THE GALA. In addition, nominators should be prepared to upload a photo prior to submitting the nomination. Please read the below statement and agree prior to proceeding.
I understand that as a nominator, neither I nor my nominee will be informed of their award recipient status until the evening of the awards when such information is made available to the public.*
- Yes

Select an Award Category
Please select the nomination category. A separate form must be completed for each nominee. All individuals nominated for category awards will be considered for the top Achievement awards: Accomplished Achievement Award and the Mme. C. J. Walker Award. These awards cannot be nominated for, and will be selected by the committee from the nominee pool.*
Please select the nomination category. A separate form must be completed for each nominee. All individuals nominated for category awards will be considered for the top Achievement awards: Accomplished Achievement Award and the Mme. C. J. Walker Award. These awards cannot be nominated for, and will be selected by the committee from the nominee pool.
- Achievement in Arts and Entertainment
- Achievement in Business and Industry
  All business categories
- Achievement in Education
  Public or Private Education (K-12)
- Achievement in Education
  Public or Private Education (Postsecondary)
- Achievement in Entrepreneurship
- Achievement in Professions
- Achievement in Public and Community Service
- Achievement in Science, Technology, and Engineering
- "Up & Coming" Achiever
  Recognition of talented individuals who show the promise of achievement and are age 35 or younger
Information About Nominee
Name of Nominee:*
First Last
Nominee E-mail:*
Nominee Phone:*
Nominee Professional Title:*
Nominee Corporation/Organization/Institution:*
Nominee Home or Business Address:*
Street Address Address Line 2 City State ZIP Code
Information About Nominator
Nomination Submitted By:*
First Last
Nominator E-mail:*
Nominator Phone:*
Nominator Job Title:*
Nominator Corporation/Organization/Institution:*
Nominator Home or Business Address:*
Street Address Address Line 2 City State ZIP Code
Additional Information
What is your nominees educational and employment history?*
Please describe one or two of the nominee's most notable professional accomplishments in his or her current and/or prior positions.*
Describe how your nominee has made an outstanding contribution that changed his or her workplace or profession.
How has the nominee positively impacted their community? This may include their involvement as a volunteer, community leader, or within an organization. Please be specific about the impact they have made.*
Identify one or two ways your nominee exemplifies one of CLD's Principles for Success: Character Development, Educational Excellence, Leadership Effectiveness, Community Service, or Career Achievement.*
Is there anything else you would like to share about this nominee?*
Upload Nominee Picture*

Drop files here or

Accepted file types: jpg, png, pdf, Max. file size: 20 MB.
Additional Documentation
Attach articles, references, and other documentation to support your nomination here.

Drop files here or

Max. file size: 20 MB.
Email
This field is for validation purposes and should be left unchanged.

Save and Continue Later

Minority Achievers Awards Nominations

45th Annual Minority Achievers Awards & Scholars Gala

Step 1 of 2

READ HERE BEFORE BEGINNING

Select an Award Category

Information About Nominee

Information About Nominator

Additional Information

Stay Connected