Power of One Online Application

Application Deadline: December 15th

Date:
Person submitting nomination:
Email:
Phone:

Award Nomineee:
Address Line 1:
Address Line 2:
City:
State:
Zip:
Email:
Phone:

Please describe why this person should receive the PFund 20th Anniversary Power of One Award. Illustrate how they fulfill the following criteria: Have depth and breadth of service to the GLBT community, are a community leader or activist, and reflect the mission and vision of PFund.

Please list any relevant achievements or contributions the nominee has made to improve the quality of life of GLBT communities: