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Nomination Form

Ideal nominees are 18+ years, has successfully completed a community based nonprofit program, is one year or more removed from program completion, has no new felony offenses (since starting program) and has maintained consistent employment.

Deadline: March 31, 2019 • Organizations may nominate up to two individuals from their program.

Nominee's Name *
Nominee's Name
Nominee's Phone Number *
Nominee's Phone Number
Is this nominee 18+ years? *
Ideal candidates will be 18 years or older.
Ideal candidates will be one year removed from program completion.
I.e. What are some challenges that this individual has faced and overcome?
Nominator's Name *
Nominator's Name
Nominator's Phone Number
Nominator's Phone Number

Mission: St. Louis will contact you by June 14th regarding the selection of nominees. Please let us know if you have any questions. Feel free to reach out to Anna at or call our offices at 314.534.1188. We look forward to celebrating with you at the Staying Power Awards Ceremony on July 26th!

Thank you!