NOMINATION FORM Nominator Information Your Name Your Email Your Phone Number Your Relationship to the Nominee Nominee Information Nominee Full Name Age Occupation Military/VeteranPolice OfficerFirefighterPastor Gender MaleFemalePrefer not to say Email Phone Number City State Nomination Details Why are you nominating this person? (share their story, impact, or what they have been through) (Optional) Has this person faced any recent challenges either personally, at work, or at home? (Optional) Are there any specific needs or accommodations for this nominee? (Optional) Availability of the nominee Consent I understand that submitting this nomination does not guarantee selection. All nominations are prayerfully reviewed by the Still Waters Retreat team.
