Nominee's Contact Information
Name:
Company:
Website:
Business Address:
Nominee's Broker/Manager
Broker/Manager Phone:
NRDS
ID#
(Obtain your ID# at
www.realtor.org . Log in
or register there, and click on “NRDS” to search for your
number. You can also find your ID number printed above your
name on the REALTOR® Magazine mailing label.)
If you’re completing this application and
you’re not the nominee, please also provide your contact
information:
Name:
Company/Charity Name:
Address:
Phone:
Email:
Relationship To Nominee:
Community Program(s) Served
(This organization
will receive the grant money if you are selected as a Good
Neighbor Award winner. If there’s more than one, please add
a page.)
Organization Name:
Address:
Phone:
Fax:
E-mail:
Website:
Nature of the community work the nominee performed (brief
description of the organization’s mission and the candidate’s
contribution):
How long has the nominee been volunteering
with this organization?
Who may we contact at the organization to
verify the nominee’s involvement?
Name:
Company/charity/title:
Address:
Personal Contribution
(Nominees should have
made a significant contribution of personal time, but
contributions of money, materials, or other resources will
be considered by the judges.)
Note: This
information is required .
Although you may not keep exact
records, we must have your best estimate in order to
evaluate the entry.
Is the nominee compensated for any portion of the service work
described in this application. (If yes, please explain.)
Does the nominee perform the community
service as part of his or her duties as an employee or
corporate officer of a real estate company?
(If yes, please explain.)
Explanation of Contribution Required
In no more than 500
words, describe how the nominee’s individual efforts have
made the community a better place to live.
Verification of Involvement
Required
Please attach
published reports or testimonials from the organization or
individuals served that document the nominee’s activities.
These documents should attest to the individual involvement
of the nominee. Please highlight the nominee’s name in
documents where it is not immediately evident. (List the
attachments here.):
I am the nominee. YES
NO
Who should we notify about the Good
Neighbor Awards results:
Name:
Company/charity:
Address:
Phone:
E-mail: