2022 Giving Back Awards Nomination - For-profit Business or Corporation

Please use this form to share information about how your company has given back to the local community. Deadline to enter is July 29, 2022
___________________________________________________________________________________________________

Important Note Regarding Multiple Nominations for a Single Organization:
The Giving Back Awards review committee is looking for a single strong nomination for each organization, one that provides a well expressed mission, relevant details and specific examples of how that organization impacts our our Coastal Virginia community in a positive way. Submitting multiple nomination forms from different individuals for the same organization does not improve that organization's chances of being selected.
Name of Company
Company Contact Name Company Contact Name First Last
Company Address Company Address
Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country
Phone Phone - ### - ### ####
Company Web Site
Facebook Page (if applicable)
Nominator's Name Nominator's Name First Last
Nominator's Job Title
Nominator's Direct Phone Number Nominator's Direct Phone Number - ### - ### ####
Nominator's Email
Organizations will be contacted only if selected. Below, please provide contact information for the most reliable contact person associated with this nonprofit if it is not individual provided above. Please note that only the person entered here will receive notification at the provided email address if the organization is selected.

Name of Business Contact Name of Business Contact First Last

Phone of Business Contact Phone of Business Contact - ### - ### ####

Email of Business Contact

Check all that apply to your company

Check all that apply to your company Internships Mentorships Volunteerism In-kind donations Product donation Housing assistance Continuing education Charitable contributions Partnerships with non-profits Percentage of profits donated Employment opportunities / trainings Other

Please share in more detail about the charitable programs or community-minded initiatives that are unique to your company:
How does your company give back to the local community?
Maximum of 1500 words allowed.   Currently Entered: 0 words.

How long have you been practicing these initiatives and how are employees and leadership involved?
Maximum of 1500 words allowed.   Currently Entered: 0 words.

Provide specific examples of any impactful programs, initiatives or events that have improved lives in the Coastal Virginia community in the last year.
Maximum of 1500 words allowed.   Currently Entered: 0 words.

What sets your company apart in terms of community impact?
Maximum of 1500 words allowed.   Currently Entered: 0 words.

Finish this statement: “To our company, giving back means _______.”
Maximum of 1500 words allowed.   Currently Entered: 0 words.