Hero Nomination Form 1Nomination Criteria2Nominator Information3Hero Background Information4Hero Story of Service Nomination IDNomination CriteriaWhat is a Michigan Hero? Heroes are being recognized for giving their time, talent, or treasures to make Michigan stronger and more resilient Heroes can be recognized for a specific service incident, a period of service, or a lifetime of service. Recognition can also be posthumous. Who Is Eligible to be Recognized? Michigan residents and organizations, as well as those who provide support to Michigan but live in another location. To be named a MI HERO the person or organization must demonstrate compassion and epitomize the concept of “service above self”. This award is not for those who advocate for and demonstrate violence, hatred, or racial prejudice. It is not for those who work against human rights, destroy our environment, and are motivated primarily for personal gain. Although civic and community engagement is important, the MI Hero award is not awarded because an individual is volunteering to elect a candidate or put forward a political or religious ideology. How are Honorees Selected? MI Heroes are selected by you the community. There is no selection process – only you completing the nomination form and telling their story. Once the nomination is received, it will be reviewed to ensure it meets the basic criteria listed above. Your hero will then be contacted to ensure they consent to be listed on the MI Heroes site. Please note that this is not a competition, and no prizes will be distributed. The State of Michigan reserves the right to remove stories throughout the process. Get started to by clicking Next Nomination Criteria(Required) I agree with the nomination criteria Nominator InformationPlease list the following information to allow us to contact you regarding your HERO nomination.Nominator Name(Required) Nominator First Name Nominator Last Name Organization PhoneEmail(Required) Hero Background InformationPlease provide background information about the individual or organization and their serviceAre you Recognizing an Individual or an Organization?(Required) Individual Organization Hero Name First Last Hero Organization Hero Address(Required) City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State Michigan CountyAlconaAlgerAlleganAlpenaAntrimArenacBaragaBarryBayBenzieBerrienBranchCalhounCassCharlevoixCheboyganChippewaClareClintonCrawfordDeltaDickinsonEatonEmmetGeneseeGladwinGogebicGrand TraverseGratiotHillsdaleHoughtonHuronInghamIoniaIoscoIronIsabellaJacksonKalamazooKalkaskaKentKeweenawLakeLapeerLeelanauLenaweeLivingstonLuceMackinacMacombManisteeMarquetteMasonMecostaMenomineeMidlandMissaukeeMonroeMontcalmMontmorencyMuskegonNewaygoOaklandOceanaOgemawOntonagonOsceolaOscodaOtsegoOttawaPresque IsleRoscommonSaginawSt. ClairSt. JosephSanilacSchoolcraftShiawasseeTuscolaVan BurenWashtenawWayneWexfordHero PhoneHero Email(Required) Hero Story of ServiceStories can be for a specific service incident, a period of service, or a lifetime of service. Recognition can also be posthumous. Please provide the details of your Hero and they will be used to create the story that is posted.Service CategoriesCheck all of the categories you are nominating your HERO for: COVID-19 Social Justice Healthy Futures Education Economic Opportunity Disaster Services Veterans and Military Families Environmental Stewardship Mentoring Youth Hero Older Adult Hero National Service Heroes BIPOC Hero Arts Hero Other Speak from your heart to tell your hero's story.Things you can include: - When did they serve? If a longer duration - how many years did they serve? - What was their service impact – what did they do? - Who did they help? - If known how many were helped as a result of their involvement. - What did they accomplish and how is it making a difference? - What is special about their service? Summarize this Hero's Service Impact in 5 Words Photo UploadPhotos should be a quality head shot for an individual and a quality group shot for an organization or groupMax. file size: 5 MB.Review Policy and Submit Terms of Agreement and Privacy Policy: The information you provided in your application will be reviewed to identify if it meets the basic criteria for the Heroes site. Your nominee will be contacted to determine if they are willing to have their story posted. Stories will not be made public without the consent of the honoree. Consent(Required)I understand that the information I provided will be used to generate the story of my nominee to be posted on a Hero Website. Phone numbers and emails I listed will not be provided to media without my permission. I give permission for my contact information to be shared with Media that request it to do a positive story on my honoree. I agree to the consent policyWould you like to receive a copy of your Hero nomination?(Required) Yes No HiddenGSA Candidate?Enter "Yes" or "No," followed by your name. Ex: Yes - CJ Holmes CommentsThis field is for validation purposes and should be left unchanged. Δ
