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Courageous at 60 & Beyond Nomination Form

Thank you for helping us discover stories of courage, reinvention, purpose, and meaningful next chapters after 60. We are looking for people whose lives inspire others in big or small ways. They do not need to be famous or publicly recognized. Some stories are bold and visible. Others are quieter, more personal, and just as powerful.
Thank you, Leslie Mizerak - GetCourageous.com

Who are you nominating?

Is this person age 60 or older?

Is this person age 60 or older?
A
B
C

What is their age or age range?

Where do they live?

What best describes this person?

What best describes this person?

Why are you nominating this person?

What has this person done after 60 that feels especially courageous, meaningful, or inspiring?

What impact have they had on others?

Which themes best fit their story?

Which themes best fit their story?

Please share any helpful links about this person

About you!

Your relationship to the nominee

May we contact you if we need more information?

May we contact you if we need more information?
A
B

If selected, do you believe the nominee would be open to being contacted?

If selected, do you believe the nominee would be open to being contacted?
A
B
C

If you have it, please share the nominee’s preferred contact information.

I understand that submitting a nomination does not guarantee selection

I understand that submitting a nomination does not guarantee selection

I understand this information may be reviewed for editorial consideration and possible publication follow-up

I understand this information may be reviewed for editorial consideration and possible publication follow-up