Nomination Form

perspective. freedom. infinite possibilities.

Do you know someone who is “Soaring Above” their challenges? If so, please let me know!  In my upcoming book, I will be honoring many ordinary people who have turned their trials into triumphs (see book tab).

If someone you know has done something amazing, courageous, or extraordinary in the midst of their challenges, I want to know about it!  Please nominate them so we can pass on their inspiration to others and give those who “soar above” the recognition they deserve!! Challenges come in many forms!  Some examples of challenges could be, but are not limited to:

Abuse • Addiction • Disease • Obesity • Physical Impairment • Poverty • Rape

To nominate someone to honor in my upcoming book “Soaring Above”, please fill out the following nomination form.  Nominees must be living, but may be of any age.  If selected, all information submitted on the nomination form will be verified.

Your Name
Street Address
City
State
Zip Code
Phone Number
E-mail Address
Relationship to Nominee
   
Nominee's Name
Street Address
City
State
Zip Code
Phone Number
E-mail Address
Nominee's Challenge
   
How is your nominee soaring
above their challenges?
(In 400 or fewer words.)
Please check: