Innovation by an Organization Award Form

Please complete and submit this form to make a nomination. Self-nominations are welcome.

NOMINATOR

Your information

Your Name: (Required)

Your Address:

Your City

Your State

Your Zip Code

Your Telephone number: (Required)

i.e. 808 123-4567

Your E-mail address (Required)

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NOMINEE

Nominee information

Name of organization: (Required)

Contact person: (Required)

Address:

City

State

Zip Code

Telephone number: (Required)

i.e. 808 123-4567

E-mail address: (Required)

Website address:

Begin url with http://

Describe the organization: (Required)

What makes this organization innovative? (Required)

What has been the impact? (Required)

How could the innovation be utilized by others? (Required)

What important issue or problem was addressed? (Required)

How does the innovation move Hawai`i foward? (Required)

Additional Information:

Please include links to any pertinent media coverage or supplementary material you would like to have included for consideration.

*Recognition will not necessarily affect the selection process because it does not reflect on the person or program’s level of innovation.