Todd Seifert Legacy Leader Award Nomination

Please use the form below to nominate an Imagine employee for the Todd Seifert Legacy Leader Award. If you have questions or concerns, please reach out to info@imagineia.org.

Nominee Information

Who are you nominating?

First Name

Last Name

High Quality Headshot of Nominee

Maximum file size: 33.55MB

If you do not have a high-quality headshot, please reach out to the Marketing Team at Imagine.

Nomination

How long has this employee worked for Imagine the Possibilities?

What words would you use to describe this Nominee and their leadership?

Please share how you believe this Nominee has positively impacted Imagine the Possibilities. What skills and talents have you noticed that highlights the legacy of this leader? How has this leader's actions also positively impacted the communities we serve?

In what ways does this Nominee use their influence to transform the people and circumstances under their responsibility? How do they empower others to reach individual achievement?

Your Contact Information

Your Name

First Name

Last Name

What's the best phone number to reach you at?

What is the best email to reach you at?

If you have an @imagineia.org email address, please use that.

What is your relationship to the nominee (peer, supervisor, etc.)

If you are human, leave this field blank.