Philanthropy Day on Cape Cod
Distinguished Service to Philanthropy Awards
2019 Nominations Form
The Resort & Conference Center, Hyannis

Submission Deadline is October 4, 2019

Nomination Category*
- Outstanding Philanthropist Award - Deadline 10/4/19
- Outstanding Volunteer Award - Deadline 10/4/19
- Outstanding Business/Organization Award - Deadline 10/4/19
- Outstanding Youth/Youth Organization Award - Deadline 10/4/19
Nominee Name*
First Last
Address of Nominee*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Please complete this section, addressing why the Nominee meets the criteria listed below. (5,000 characters max)*
Nominee Email*
Nominee Phone*
Name of Individual Submitting Nomination*
First Last
Please list any additional Nominators (if applicable)
Mailing Address of Person Submitting Nomination*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Phone*
Email*
File

Philanthropy Partners of the Cape and Islands