Saturday September 04, 2010
           
Fill out the form on this page to tell UA about someone you know who qualifies as a hero.
(Note: This is not a vote. Please do not nominate the same person more than once.)
*Required fields marked with asterisks.
First, please tell us a little bit about yourself.
*First name:
*Last name:
*City:
*State/Province:
*Country:
E-mail address:
Phone number:
*Date of birth:
*How long have you known the person you are nominating as a UA Hero?
*What is your relationship to your nominee?
Where did you first hear about UA Heroes?
Either an e-mail address or phone number is required.
Please note: UA may contact you for more information about your nominee.

 

Next, please tell us about the person you are nominating to be a UA Hero

*First name:
*Last name:
*City:
*State/Province:
*Country:
E-mail address:
Phone number:

Either an e-mail address or phone number is required.

Note: For consideration as a 2010 UA Hero, at least some portion of your nominee's activity must occur on or after November 26, 2009.
Age:
*Select a category:
*In your own words, why does your nominee deserve recognition as a UA Hero? Please describe in detail your nominee's specific accomplishment and what was involved in achieving it. Be sure to include the dates of the activities.
(200 word maximum)
*How have your nominee's efforts made a difference for the better? Please describe their impact, potential impact and how they have inspired others.
(100 word maximum)

*Is there a specific incident or turning point that motivated your nominee to take action? (100 word maximum)
Is there anything else that makes your nominee exceptional or unique? (100 word maximum)
How will being recognized as a UA Hero further your nominee's cause? (50 word maximum)
If you would like to share any websites or online articles about your nominee's activities, you may enter up to 3 links here.