Social Innovation Prize Nomination

1 Start 2 Nominator Info 3 Nominee Info 4 Nomination Details 5 Wrap Up & Submit 6 Complete
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This is the nomination form for the Social Innovation Prize in Wisconsin. To complete this form, you will need some information about the person you are nominating. For example you will need:

  • The nominee's contact information (name, address, phone number, email address)
  • The nominee's date of birth
  • Information about the nominee's work, impact, focus, etc.



To be eligible for The Social Innovation Prize in Wisconsin, the nominee must:
  • Have reached the age of 50 before July 1, 2017
  • Started work for which he/she is nominated at age 40 or later;
  • Currently addressing a major social issue in the second half of life;
  • Currently be a resident of Wisconsin 
  • Not be an elected official involved in activities related to their elected office.
  • Not be involved in a project that is exclusively religious or sectarian. People working in faith-based settings that have a broader social mission are eligible.

If you have any questions about the Social Innovation Prize in Wisconsin call us at (414) 220-8616