Vision Awards — Nomination Form

Instructions: To nominate someone for one of the Vision Award Categories, please complete the form below.

Please be specific when explaining why this business or individual is deserving of an award. The information you provide will be the primary source of information that our judges use to make their selections.

Please note that we will only use your contact information and the nominee's contact information in the event that he/she is selected for a Vision Award.

For details on the event and cost, please return to the Vision Awards page.

Please complete and submit the form below:

Required field

Nominee Contact Information

 
Required field
Required field
Required field
Required field
Required field
Required field
Required field
 
An explanation is required.

Your Contact Information

 
Required field
Required field
Required field
Required field
Required field
Required field
Required field

© Copyright Indian Hills Community College | Ottumwa & Centerville, IA | (800) 726-2585