2026 LEGACY AWARD NOMINEE INFORMATION FORM

For nominees to be considered for 2026, this form must be completed by July 16 at 11:59pm.

This award is not given annually, but when warranted, in the spirit of a “lifetime achievement” award. The Awards Selection Committee will review eligible nominations. If selected, a recipient of this prestigious award is announced at the annual Chamber Awards Gala on October 29, 2026.

VIEW FULL AWARD CRITERIA AT https://www.north65chamber.com/chamber-awards/

Your Name (First Last) *

Your Job Title/Position and Company *

Your Email Address *

Your Phone Number *

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Name of the person you are recommending *

Their Job Title/Position and Company *

Their Email Address *

Their Phone Number *

How do you know this person? *

Please provide specific examples of how this person fulfills the award criteria in the following areas: •A sustained commitment to community service and volunteerism. •Strong civic responsibility and pride, demonstrated by meaningful community impact. •A selfless dedication to serving others. •Active engagement in their workplace - fostering growth, collaboration, and business advocacy. *

Specific examples or stories that you wish to share. *

Please provide specific examples of this person's current or past involvement with the North 65 Chamber of Commerce. *

Upload File - UPLOAD A PHOTO OF THE NOMINEE

If available, please upload a photo of the nominee. ** If you prefer to email a photo separately, please submit to info@north65chamber.com.

2026 LEGACY AWARD NOMINEE INFORMATION FORM

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