Art of Living Foundation's Silver Jubilee Celebrations

Online Nomination

We are pleased to invite nominations for this award from members of other non-governmental organizations, government officials, and foundation staff. Please complete the form below. We will contact the nominator should we require additional information.

Select Your City:

Nominee Details:
Name:	*
Occupation:
Employer:
Mailing Address:	*
City:	*
State:	*
Zip Code:	*
Email:	*
Phone Number:	*

Nominator Details:
Name:	*
Occupation:
Employer:
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City:	*
State:	*
Zip Code:	*
Email:
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Relationship to Nominee:	*
How long have you known the nominee?:	*

Professional achievements:

Please explain why you believe this person's actions demonstrate a strong commitment to improving human values in our community. Please include specific examples. (350 words or less)

Please include links to any additional supporting material (such as a website, newspaper articles, etc.)

Personal notes:

I certify that the information provided is accurate, truthful and complete.