10,000 Degrees Alumni Changemakers 2023 Nominations

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This form is to nominate 10,000 Degrees alumni for a Changemaker award

This is a clone draft I made to work on the 2023 version (7/14/2023)

Enter or Nominate an Alumni!

Are you a 10,000 Degrees or Meritus Alum who is making a difference? OR do you know a 10,000 Degrees or Meritus Alum who is inspiring their family or community?

Nominate yourself or an alum to be the next Alumni Changemaker!

We want to hear from you about how you or an alum is making a difference locally or globally.

Save the date—Thursday, November 2, 2023 at 5:30pm at the Julia Morgan Ballroom in San Francisco to celebrate our amazing alumni!

**ENTRY DETAILS**

10,000 Degrees will select 10 semi-finalists; the 10,000 Degrees community will then vote to select the five 2023 Alumni Changemakers honorees.
The five alumni honorees should be available to join us at the 10,000 Degrees Alumni Changemakers Award Celebration from 5:30 - 7pm on Thursday, November 2nd.
Five alumni honorees will be awarded $500 & a special gift at our November 2rd event!
Current staff who are alumni are not eligible to be nominated, but former staff are welcome to be nominated.
Not a 10,000 Degrees or Meritus Alum? No problem! You can still nominate an inspiring alum.

We can't wait to hear the inspiring stories of the 10,000 Degrees & Meritus Alumni who are making a difference in the world!

What is your FIRST name?

What is your LAST name?

Are you nominating yourself or another 10,000 Degrees Alum?

MyselfAnother Alum

Self-Nomination (Yes! I'm a 10,000 Degrees or Meritus Alum)

What is your email address?

Street Address

Mailing City

Mailing State

Mailing ZIP code

Cell Phone Number

Which of the following best represents your racial or ethnic heritage?

Which of the following best represents your gender?

I nominate myself! (YAY)

As a 10,000 Degrees or Meritus Alum, tell us how have you made or hope to make a difference in the lives of others— by helping your family or others, perhaps you're making a difference in your community or workplace? We want to hear about you and how you're making an impact - locally or globally! These are just a few examples. We are not looking for a college essay, 100 words (more or less) is great.

How has 10,000 Degrees made a difference to you, your education and/or your career? How did we support you? Were there any challenges you faced during your education that 10,000 Degrees helped you overcome?

Where did you graduate from college?

What year did you graduate from college?

Where are you currently working?

What is your job title?

If you are selected as a finalist, are you able to attend the event in person?

Thursday, November 2, 2023 at 5:30 p.m.

Julia Morgan Ballroom, San Francisco

YesNo

Nomination of a 10,000 Degrees or Meritus Alum (not me)

What is the name of the 10,000 Degrees or Meritus Alum you are nominating?

Please share with us how you got to know the alum that you are nominating?

What is the email address of the 10,000 Degrees Alum you are nominating?

What is the cell phone of the 10,000 Degrees Alum you are nominating?

What is YOUR email address?

What is YOUR mailing street address

What is YOUR mailing City

What is YOUR mailing State

What is YOUR mailing ZIP code

What is YOUR cell phone number?

Nomination of a 10,000 Degrees or Meritus Scholarship Alum (THANK YOU!)

10,000 Degrees will select 10 semi-finalists. Then the 10,000 Degrees community will vote on the five 2023 Alumni Changemakers; each of the five 2023 Alumni Changemakers will receive $500 and an additional special gift at the Nov. 2nd event. Current staff who are alumni are not eligible to be nominated but former staff are welcome to be nominated.

Thinking about a 10,000 Degrees or Meritus Alum, tell us how they have made or hope to make a difference in the lives of others— by helping their family or others, perhaps making a difference in their community or workplace? We want to hear about them and how they're making an impact - locally or globally! These are just a few examples. We are not looking for a college essay, 100 words (more or less) is great.

Where did the 10,000 Degrees Alum graduate from college?

What year did the 10,000 Degrees Alum graduate from college (please estimate if you are unsure)?

Where is the 10,000 Degrees Alum currently working?

What is 10,000 Degrees Alum's job title?

Contact Information