WNY - Southern Tier Heroes Nomination

Southern Tier Real Heroes Nomination

Every now and then, an unselfish and extraordinary action on behalf of a neighbor, a coworker, or even a stranger can change another person’s destiny or make an impact on the community. In that moment, ordinary people become Real Heroes. The American Red Cross is honored to salute these unsung heroes.
Nominator Name

First NameLast Name
Relationship to Nominee
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
Nominee Information
Hero Name(s)
Hero Occupation(s)
Hero/Heroes' Contact Information (Address, Phone Number, Email Address)

Street Address

Street Address Line 2

CityState

Zip Code
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Email
example@example.com
Award Categories (select all that apply)
Please state why you are nominating the candidate for a Real Heroes Award, such as where/when the heroic event occurred; what actions and/or deeds make your nominee(s) a hero; what impact your nominee(s) made on your life, the lives of others, and the community; the personal integrity of your nominee; how the nominee lives out the Red Cross mission. Details of the nomination story:
(attach a file if you need more space for your story)
Attach file(s)

Cancelof
Date/Timeframe of Occurrence

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Place of Occurrence
Does your nominee know that they are being nominated?
If applicable, do you know the name of the person(s) saved during this heroic act, please include their name and contact information, if known, here:
How did you hear about the Real Heroes Event?
Should be Empty:

Southern Tier Real Heroes Nomination

Nominee Information