Submit Ballot

Please fill out the form below to submit your ballot.

• Name **
• Title **
• Date Of Birth **
• Business Name **
• Nominee Email **
• Nominee Phone **
• Please describe the positive impact the nominee's work has had on the community. How have their actions or contributions made a significant difference to others? Provide specific examples of the impact of the nominee's work, including any quantifiable results (e.g., number of people served, funds raised, improvements in community health). **
• Submitted By **
• Phone Number **
• Email **
• 

  To submit, please enter the code you see above.

• • Submit Your Ballot