North Carolina - Cape Fear Heroes Nomination

Cape Fear Salute to Heroes

2025 Nomination Form
Nominee Name

First NameLast Name
Nominee Address

Street Address

Street Address Line 2

CityState

Zip Code
County in which Nominee Lives, Works, or Attends School
Nominee Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Nominee Email
example@example.com
Select a category for the Nominee
Please tell us, in 500 words or less, why this individual is being nominated
Nominator Name

First NameLast Name
Nominator Address

Street Address

Street Address Line 2

CityState

Zip Code
Nominator Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Nominator Email
example@example.com
Relationship to Nominee (e.g. Co-Worker, Supervisor, Neighbor, Friend, etc.)
Should be Empty:

Cape Fear Salute to Heroes