Local Hero Nomination

Wednesday, February 22, 2012

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Local Hero Nomination

Local Hero Nomination Form

To nominate someone to be a "Local Hero," please fill out the form below and include any appropriate attachments where indicated. All nominations must be received by Mar. 7, 2012.

Information received with each Local Hero nomination will be posted on the Sunshine Week site. Material may be edited for content, clarity and compliance with contest criteria. If you have included personal information that you do not wish posted please advise the contest administrators at sunshineweek@asne.org.

Nominee information

First Name

Last Name

Address line 1

Address line 2

City

State

Postal Code

Telephone

E-mail Address

Web Site, if applicable

Nominee’s civic/non-profit affiliation if relevant to the nomination

Name of organization

Organization Address 1

Organization Address 2

Organization City

Organization State

Organization Telephone

Email of CEO

Organization Web Site, if applicable

Person making the nomination

Same as nominee.

Contact First Name

Contact Last Name

Contact Telephone

Contact E-mail Address

Affiliation / Relationship, if any

Open government accomplishments

Briefly describe the open government issue or issues that the nominee challenged and
the actions he or she took to bring about greater transparency. What was the result?

How did the nominee’s actions and any resulting governmental
changes benefit the community? (500 words or less)
If additional space is required, please submit it in the Supporting documents field below.

Supporting documents

Please provide copies of or links to any relevant news stories or other background information and reports that support your nomination.

Attachment 1

Attachment 2

Attachment 3

Link 1

Please include http:// in URLs

Link 2

Link 3

Photo of nominee

Please upload a photo (head shot) of the nominee

Nominee video

We encourage the submission of a video in which the nominee explains why open government is important, personally and to the community.
Please enter a URL to a YouTube video (OPTIONAL)

Submit

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