Awards & rECOGNITION form SECTION 1: General Information Nominator Name * This allows us to follow up if needed and provide updates about your nomination. First Name Last Name Nominator Email Nominee Name This allows us to follow up with the individual if needed First Name Last Name Nominee Email * Nominee Phone (###) ### #### SECTION 2: Award Category Please select one award category that best fits the nominee’s work and impact. Community Impact Award Recognizes individuals or organizations making a significant difference by creating meaningful connections, resources, or services that uplift the Hispanic/Latinx community. Criteria: measurable community impact, inclusivity, long-term positive effects. Cultural Advancement Award Honors those who elevate and preserve Hispanic/Latinx culture through education, storytelling, arts, or cultural initiatives. Criteria: promotion of cultural awareness, innovation, and educational value. Leadership & Advocacy Award Celebrates leaders who champion diversity, equity, and inclusion within corporate or civic spaces. Criteria: strong leadership, advocacy for Hispanic/Latinx representation, mentorship. Legacy Award Recognizes long-standing commitment and impact by individuals or organizations who have consistently shaped the Hispanic/Latinx landscape over time. Criteria: historical contribution, sustained impact, inspirational legacy. Award Categories * Please select one award category that best fits the nominee’s work and impact. Community Impact Award Cultural Advancement Award Leadership & Advocacy Award Legacy Award SECTION 3: Nomination Details Help us understand why this nominee should be honored. Please be detailed and specific. Summary of Nominee’s Work * Briefly describe the nominee’s work, mission, or contribution to the Hispanic/Latinx community. (Word limit: 250 words) Impact Statement * Explain the nominee’s measurable or observable impact. Include examples, data, or testimonials if available. (Word limit: 500 words) Alignment with Award Category * Describe how the nominee aligns with the specific award category selected above. (Word limit: 250 words) SECTION 4: Demographic Information This section is optional and helps us track diversity and inclusivity across nominees. Nominee’s Ethnic Background / Heritage Gender Identity / Pronouns Geographic Location (City, State) Provide Responses Below SECTION 5: Consent & Submission Confirmation Checkbox * I confirm that the information provided is accurate to the best of my knowledge and consent to The Hispanic Collective using this information for consideration and promotion of the Impact Awards. Thank You for Submitting ! ! We’ll get back to you soon
