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Citizen Dane Application

In Business magazine is excited to announce a new program in 2019 called “Citizen Dane,” which will recognize some of Dane County’s most committed volunteers. We encourage nonprofit organizations of all sizes and all causes to nominate the very best individuals who give back and volunteer their time and energy toward your mission. The IB editorial team will then choose those individuals who they feel are most deserving of recognition in the July 2019 issue of In Business magazine. To be eligible for recognition, nominees must volunteer at a nonprofit organization that is located in Dane County. Self-nominations will also be accepted. 

Nomination deadline: Wednesday April 17

Questions? Contact Publisher Jon Konarske at jon@ibmadison.com

Please be as detailed as possible when filling out the application.

Nominator Information:

Nominator Name

Nominator Title

Nominator Company/Organization

Nominator Email

Nominator Phone

Nominee information:

Nominee Name

Nominee Title

Nominee Company/Organization

Street Address

City

ZIP Code

Nominee Company Website

Nominee Email

Nominee Phone

Nonprofit Organization Information:

Nonprofit Name

Street Address

City

ZIP Code

Phone

Website

 

Please provide a description of the nonprofit organization at which the nominee volunteers his/her time at, including the mission of the organization and any specific goals the organization set out to attain during the 2018 calendar year.

 Does the nominee also sit on the nonprofit organization’s board? (check box)

How many years has nominee served the nonprofit organization?

During the 2018 calendar year, roughly how many volunteer hours did the nominee serve the nonprofit organization?

Describe in detail how the nominee contributed to the nonprofit organization’s goals and/or mission during 2018. Include information on specific initiatives the nominee helped spearhead for the organization, including details on the impact that these initiatives have had on the organization’s success in meeting these goals.

Optional: Attach a reference letter from an executive at the nonprofit organization, or a member of the organization’s board of directors, that further outlines the impact the nominee made to the organization during 2018.

 

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You may upload an attachment with your submission. We accept the following file types:
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