Legacy Maker App | LWM Foundation

Legacy Maker
Award

Application Open

August 15th through September 15th

Award Date: November 15, 2026

Nominee Full Name

Organization/School/Program

Address

City

State

Zip Code

Email Address

Phone Number

Years of Service

Nominator Full Name

Organization (if applicable)

Phone Number

Relationship to Nominee

How has the nominee gone above and beyond in serving others, and what makes them deserving of recognition?

Summarize your nominee in three sentences.

Supporting Documentation (optional, but encouraged). Please attach as a single PDF document.

I certify that all information provided in this application is true and complete to the best of my knowledge.

Nominee acknowledges that this Honorarium will be treated as taxable income and will be the responsibility of the Nominee.

Signature

Drawing mode selected. Drawing requires a mouse or touchpad. For keyboard accessibility, select Type or Upload.

Date

Month

Day

Year