Welcome to FOX 47's Jefferson Awards Nomination Form.  Nominate Someone For a Local Jefferson Award

Do you have a relative, a friend or a co-worker who is having an impact in your local community? In every neighborhood, there are "Unsung Heroes" - volunteers and paid professionals who go well beyond their expected duties.

The nomination process is simple. Fill in the name, address, and telephone number of both your nominee and yourself as the nominator. Write a brief, passionate, compelling story about your friend. Tell something that distinguishes them as an individual. Then highlight how the nominee's actions benefit the lives of others and the local community. That's it!

* *
 
*

Nominee Information
In this section, we require information on the individual being nominated for a Jefferson Award.

* *
 
*
Category of Impact:

Outstanding Personal Acts:
(1,000 character limit for each field.)

Please share any and all individual social media account information: (Account Handle/Address) (Not Required)