Game Changer Award Nomination Application

The Game Changer Award is provided to an individual who has distinguished themselves in one of the six NAACP game-changer areas: economic sustainability, education, health, public safety & criminal justice, voting rights and political representation, and youth engagement.

Nominee's Information

Name of Nominee *

First

Last

Nominee's Address *

Address Line 1

Address Line 2

City

State

Zip Code

Nominee's Phone *

Nominee's Email *

Upload Nominee's Bio and Resume *

Click or drag files to this area to upload. You can upload up to 10 files.

Please provide further information about yourself.

Please complete each section of the award nomination form describing how the *nominee meets each of the award criteria. Please limit your responses to 500 words or less per criteria section.

What stands out the most about the work you've done in the community? *

How have you distinguished yourself as a Game Changer in any of the following areas: economic sustainability, education, health, public safety & criminal justice, voting rights and political representation, and youth engagement? *

Which communities do you serve (Ozaukee County, Milwaukee County, others) *

How would others describe you in three words? *

What risks have you been willing to take when promoting diversity. *

What causes or organizations are you passionate about? *