Cultural Leadership Award Nomination Form
The Cultural Leadership Award recognizes an alumnus/na of CBCA's Leadership Arts program who has made a
significant impact on arts & culture in Colorado through a personal commitment to the arts. All nominations
must be submitted by February 20, 2015. Submit this form via email to main@cbca.org.
First Name
Last Name
Title/Position
Company/Organization
Email Address
Phone Number
Mailing Address
Leadership Arts Class Year
Self-Nominated? :
 Yes
No
If Applicable
Nominated by:
(First and Last Name)
Connection to Nominee
Nominator Email Address
Please respond to the following questions. Limit each question response to 150-300 maximum.
1. Describe the nominee’s volunteer leadership and philanthropic experience.
2. Describe how the nominee has applied his/her Leadership Arts experience in order to make a
difference to arts and culture in Colorado.
3. How has the nominee been an ambassador and advocate for our arts and cultural community in
Colorado?
4. Anything else the awards committee should consider?
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