Nominated Company

Company Name

Hispanic Promise Award Contact

First Name
Last Name
Company/Organization
Title
E-mail address

Overview & Submission

Nominated Program/Action/Activation
Provide the key elements of the partnership including:
The issue(s) that the activation addresses
The long-term goal(s) and short-term objective(s) of the activation
How the activation achieves its goals and objectives to address the issue(s)
Highlight unique attributes of the activation
Impact achieved by the activation

(Describe in 500 words maximum)

Which Hispanic Promise Pillars does this activation primarily address?(select all that apply)

PrepareHirePromoteRetainCelebrateBuy

Partners
(If applicable, list each primary partner involved in the activation including your own. Please start with your organization before listing the other organizations in your partnership.)

Partner Role & Responsibility
Describe how partner provides unique value that contributes to the success of the partnership (100 words maximum)

Metrics
List up to 5 of the most important metrics used to demonstrate the efficacy of this activation.

Example:
1. Metric _______________
Results Achieved: _______________________

Innovation
Why is this activation uniquely positioned to address this issue? Include innovative approaches to challenges that contribute to the activation’s success of addressing the societal need or ways the activation is combining existing tools or programs in a way that meet this specific need. (200 words maximum)

Future Impact
How could the activation be scaled for greater social impact? (150 words maximum)

Sustained Impact
How will the impact achieved by your activation be sustained long term? (150 words maximum)

Supporting Documentation and Attachments
Please send any materials (audiovisual, data graphics, metrics, articles, reports, etc.) that will provide additional information. Please submit up to 5 individual attachments and limit each attachment to 5 pages.

You can also send directly to [email protected]

Certification and Authorization

The undersigned certifies that all the information and statements provided in this application are current, accurate, and complete to the best of their knowledge. The undersigned acts as the representative of all partners listed in this application. The application materials will not be returned to the entrant.Only include graphics that report impact metrics or information that supports the award criteria of the partnership.

Applicant Name
Today's Date

This concludes the application. Please press "Submit" below to officially complete your nomination.

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