Be The People x Danny Wimmer Presents Changemakers Nomination Form

Be The People x Danny Wimmer Presents Changemakers Nomination Form
Nominator First Name
Nominator Last Name
Nominator Email
example@example.com
Changemaker Nominee Name

First NameLast Name
Nominee Email
example@example.com
Nominee Phone Number
We'll only use this to give your nominee a call if they're selected as a Changemaker, so we can connect with them directly about next steps.Format: (000) 000-0000.
Nominee Location (City, State, Zip Code)
What is their organization (if applicable)?
How do you know this Changemaker?
Who are they and what makes them a Changemaker?
What do they do for the community? How has their work created connection, lifted others, or positively changed the city?
Photo (Optional)

Upload a photo of your nominated Changemaker. By uploading this content, I confirm that I own or have obtained all necessary rights and permissions to submit this photo/video, including the consent of any individuals depicted.
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Video (Optional)

Got a video that captures why your nominee deserves this? Upload it here! Whether it's a quick selfie video or something more polished, we'd love to see (and hear) why they mean so much to you. By uploading this content, I confirm that I own or have obtained all necessary rights and permissions to submit this photo/video, including the consent of any individuals depicted.
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I grant Be The People, Danny Wimmer Presents, and their respective affiliates a royalty-free, non exclusive right to use, reproduce, and display the submitted photo/video and any likeness therein across their social media channels and promotional materials in connection with the Changemakers campaign.
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