Manhattan Institute | Social Entrepreneurship Awards Nomination Form

2010 Innovation in Social Entrepreneurship Award Nomination Form

Self nominations will not be considered, so please do not nominate yourself or the organization for which you work. And do not be confined by the size of the response boxes. You can write as much as you'd like to respond to the questions.

Nominee's Information :

Social Entrepreneur's Name*

* Social Entrepreneur should currently be working with the organization

Organization Name

Date of Founding

Address
City	State	Zip
Phone	Fax
Email	Website

Nomination Submitted by:
(* required)

Nominator' Name*

Organization Name

Address
City	State	Zip
Phone*	Fax
Email*

What is the mission of the organization you are nominating?

How is that mission being accomplished? (Be specific.)

Evidence of success:

Why is the award deserved?

What support (amount, kind) do you (the nominator) or your organization provide?

Optional Information:

Do they use volunteers? How?

Are there plans for growth or expansion? Describe.

What is the budget, and how much comes from government sources?

If you have any problems submitting your nomination online, please contact Taisha Camacho, 646.839.3310 or tcamacho@manhattan-institute.org

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