2022 Digital Dreamer Award - Nominee Submission Form

Nominee Information*

First Last

Nominee Email*

Cellphone*

Mailing Address*

Street Address City State / Province / Region ZIP / Postal Code Country

Grade Level Year*

Age*

(Must be between the ages of 13-20 to be eligible.)

Adult Reference Name*

First Last

Reference Contact Phone*

File

Drop files here or

Max. file size: 50 MB, Max. files: 2.

(Add attached up to two.)

Nomination Submitted by*

First Last

Relationship to Nominee*

Email*

Cellphone*

School*

As you draft your Nomination, consider these ideas that might add interest to your answers:

What makes this student extraordinary and deserving of recognition?
What about the student's personal story is most inspiring?
Has the student overcome obstacles or challenges as he/she worked on the innovation?

Briefly describe what the nominee accomplished that has made an important impact on you, your school, community, or someone you know. (i.e. Social Innovations, Humanitarian Acts, Technical Innovations, Inventions, Artistic Creations or Accomplishments)

Impact*

Briefly describe why you believe this person is a good candidate for this award. What other attributes has your nominee demonstrated to support this nomination?

Attributes*

Is there anything else about your nominee that you would like the Committee to consider? (Optional)

Additional Considerations

Prove That You're a Human

Name

This field is for validation purposes and should be left unchanged.

2023 Digital Dreamer Award – Nominee Submission Form

2023 Digital Dreamer Award Nomination