Community Catalyst Nomination Form

Use this form to nominate an individual or couple for the Bartlesville Community Foundation's Community Catalyst Award. Please include your contact information as well as the nominee's. The form includes questions that address the character of the nominee in 4 focus areas. Your answers are limited to 1000 characters, which is about 150 words. Forms due July 31, 2026.

Name

This field is for validation purposes and should be left unchanged.

Name of Nominee(Required)

Please provide the name(s) of the person(s) you are nominating. You may nominate an individual or a couple.

Nominee's Address

Please provide the address of the nominee.

Street Address City ZIP / Postal Code

Nominee's Email(Required)

If nominating a couple, provide primary email only.

Nominee's Phone(Required)

If nominating a couple, provide primary phone only.

Questions

1. How does the person/couple you are nominating demonstrate service to the community?(Required)

1000 character limit

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#2 How does your nominee show commitment to nonprofits and those who need us most?(Required)

1000 character limit

2. How does this person/couple inspire community engagement in others?(Required)

1000 character limit

3. How does this person/couple demonstrate loyalty and a sense of responsibility to our community?(Required)

1000 character limit

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#4 Describe ways that your nominee acts ethically and with integrity?(Required)

1000 character limit

4. Describe ways that this person/couple drives change in our community through leadership and integrity.(Required)

1000 character limit

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#5 How does your nominee drive change through leadership and inspiration?(Required)

1000 character limit

5. Is there anything else you would like to add?

1000 character limit

Nominator's Information

Your Name(Required)

Your Address

Street Address City State / Province / Region ZIP / Postal Code

Your Email(Required)

Your Phone(Required)

(PLEASE NOTE: When you choose "Save and Continue Later", you will be taken to this grant's home page. You will then need to scroll to the bottom and enter your email address.)