Pacific Islands Red Cross Hero Nomination
Submit your nomination by November 7, 2025.
Nominator Name
*
First Name
Last Name
Date
*
-
Month
-
Day
Year
Date
Mailing Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Nominator Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Nominator Email
*
example@example.com
Award Category Nomination
*
Please Select
Oahu Volunteer of the Year
Big Island Volunteer of the Year
Maui County Volunteer of the Year
Kauai County Volunteer of the Year
Guam Volunteer of the Year
Northern Mariana Islands Volunteer of the Year
American Samoa Volunteer of the Year
Red Cross Mission Hero – up to eight (8) volunteers will be chosen to each receive an award
Hero Nominee Information
Please provide the following information of your Hero nominee.
Name of Nominee
First Name
Last Name
Position(s)
Nominee Mailing Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Nominee Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
Nominee Email
example@example.com
Nomination Summary
*
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