/US
Fill out the form on this page to tell CNN about someone you know who qualifies as a hero.
(Note: This is not a vote. Please do not nominate the same person more than once.)

*Required fields marked with asterisks.
First, please tell us a little bit about yourself.
*First name:
*Last name:
*City:
*State/Province:
ZIP/Postal Code:
*Country:
E-mail address:
Phone number:
*Date of birth:
   
Either an e-mail address or phone number is required
Please note: CNN may contact you for more information about your nominee.
Now tell us about the person you are nominating for a CNN Hero Award.
*First name:
*Last name:
*City:
*State/Province:
ZIP/Postal Code:
*Country:
E-mail address:
Phone number:
Either an e-mail address or phone number is required
Age:
Under 18
18-49
50+
*Select a category: (What's this?)
Defending the Planet
Fighting for Justice
Community Crusader
Medical Marvel
Championing Children
Young Wonder (Under 18)
*When did your nominee's accomplishment occur?
Before October 1, 2006
October 1, 2006 - present
*Are the activities ongoing?
Yes
No
*Why does your nominee deserve a CNN Hero award in this category?
Please describe in detail your nominee's specific accomplishment and what was involved in achieving it. Be sure to include the dates of the activities.
(200 word maximum)


*Is there a specific incident or turning point that motivated your
nominee to take action?
(100 word maximum)
*How have your nominee's efforts made a difference for the better?
Please describe their impact, potential impact and how they have inspired others. (100 word maximum)



Is there anything else that makes your nominee exceptional or unique?
(100 word maximum)
By submitting your nomination you agree that you have read and accept the legal disclosures
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