The Stakeholders Regional Volunteer Center
915 Broadway, Box 15, Albany, NY 12207
Please mail completed form to the address above or email as an attachment to ceo@TheStakeholders.org
All nominations must be received by February 1, 2016
Please complete this form to submit the company, or group, who you feel should be considered for a 2016
IMPACT Award. Please complete one form per nominee.
Nomination Award Category: Choose only one category
Please note: The awards committee reserves the right to reassign a category for any nominee.
 Corporate Volunteer of the Year
 Business-to-Business Partnership
 Business-to-Nonprofit Partnership
 Skills-Based Volunteerism
 Outstanding Project
 Green Project
Nominee Information
Name: ______________________________________________________________
Title: _______________________________________________________________
Company Name: _____________________________________________________
Company Address: ____________________________________________________
Nominee ’s Phone: ____________________________________________________
Nominee ’s E-Mail: ____________________________________________________
Nominator Information
Name: _____________________________________________________________
Title: ______________________________________________________________
Company Name: _____________________________________________________
Company Address: ___________________________________________________
Nominator ’s Phone: __________________________________________________
Nominator ’s E-Mail: __________________________________________________
Nominations should be received in the form of a written document (not to exceed 2 pages), and not solely in the form of a nominee ’s resume. When creating your nomination, please be sure to include the following descriptors:
• How is this business/individual is currently making a significant contribution within the nominated category? Consider not only a historical perspective, but how they continue to make integral contributions to our Capital Region community.
• In what ways has this business/individual served as a valuable role model, and as inspiration?
• Describe in detail the community impact this business has made on a particular population and share details of such population is (i.e., who has benefitted, how many, and the spillover effect).
WINNERS WILL BE NOTIFIED BY MARCH 1, 2016 AND HONORED AT THE GE THEATRE
AT PROCTORS ON TUESDAY APRIL5, 2016.

The Stakeholders Regional Volunteer Center
915 Broadway, Box 15, Albany, NY 12207
CORPORATE VOLUNTEER OF THE YEAR AWARD
This award honors exemplary corporate employee volunteer programs that effectively integrate volunteerism into the company ’s business culture.
BUSINESS-TO-NONPROFIT PARTNERSHIP IMPACT AWARD
This award is presented to programs or projects that have collaborated with a nonprofit organization to achieve significant measurable community improvement results.
BUSINESS-TO-BUSINESS PARTNERSHIP IMPACT AWARD
This award is presented to programs or projects that have collaborated with another business to achieve significant, measurable community improvement results.
SKILLS-BASED VOLUNTEERISM AWARD
This award recognizes a skills-based volunteer project that has been completed within one year and has achieved significant, measurable results.
OUTSTANDING PROJECT AWARD
This award is presented for a short-term community improvement or volunteerism project that has been completed within one year and has achieved significant, measurable results.
VOLUNTEER OF THE YEAR AWARD
Recognizes an individual who has led the charge of volunteerism within their company or non-profit organization by demonstrating a true investment into the well-being of the communities in which they operate.
EVERYDAY HERO AWARD
Recognizes a first responder, disaster service volunteer or veteran who has had a significant impact in their community.
SUSTAINABLE COMMUNITIES AWARD
Recognizes an individual, business or group project for demonstrating leadership or innovation in programs or principles that advance sustainability and environmental stewardship in our community.
YOUNG PHILANTHROPIST AWARD
Recognizes a next generation philanthropist (under 45) who has had significant GOBY on a nonprofit organization or a community project through their personal philanthropy efforts.
ARTS AMBASSADOR AWARD
Recognizes an individual who has made a sign ificant GOBY upon an arts & cultural
Institution and/or the promotion of arts & culture in our community.
COMMUNITY MENTORSHIP AWARD
• cRecognizes an individual committed to service and philanthropy who, by example and mentorship, cultivates a spirit of service and philanthropy for the next generation.

The Stakeholders Regional Volunteer Center
915 Broadway, Box 15, Albany, NY 12207
Join us at the IMPACT Awards to honor the superlative work of individuals and corporations that have enhanced the community by engaging and sharing their many resources. Discover what some of the New York Capital Region’s most philanthropic companies are doing – from the C-suite to entry-level employees – to tie volunteerism back to bottomline business results, regardless of size, industry or structure.
The IMPACT Awards are presented by the Stakeholders Civic Engagement Council. The Civic Engagement Council supports its members in their strategic commitment to corporate volunteerism and civic engagement.
Don’t miss this opportunity! To receive all sponsorship benefits, please let us know of your interest by January 15, 2016.
The IMPACT Awards
CORPORATE VOLUNTEER OF THE YEAR AWARD
This award honors exemplary corporate employee volunteer programs that effectively integrate volunteerism into the company’s business culture.
BUSINESS-TO-NONPROFIT PARTNERSHIP IMPACT AWARD
This award is presented to programs or projects that have collaborated with a nonprofit organization to achieve significant measurable community improvement results.
BUSINESS-TO-BUSINESS PARTNERSHIP IMPACT AWARD
This award is presented to programs or projects that have collaborated with another business to achieve significant, measurable community improvement results.
SKILLS-BASED VOLUNTEERISM AWARD
This award recognizes a skills-based volunteer project that has been completed within one year and has achieved significant, measurable results.
OUTSTANDING PROJECT AWARD
This award is presented for a short-term community improvement or volunteerism project that has been completed within one year and has achieved significant, measurable results.
VOLUNTEER OF THE YEAR AWARD
Recognizes an individual who has led the charge of volunteerism within their company or non-profit organization by demonstrating a true investment into the well-being of the communities in which they operate.
EVERYDAY HERO AWARD
Recognizes a first responder, disaster service volunteer or veteran who has had a significant impact in their community.
SUSTAINABLE COMMUNITIES AWARD
Recognizes an individual, business or group project for demonstrating leadership or innovation in programs or principles that advance sustainability and environmental stewardship in our community.
YOUNG PHILANTHROPIST AWARD
Recognizes a next generation philanthropist (under 45) who has had significant GOBY on a nonprofit organization or a community project through their personal philanthropy efforts.
ARTS AMBASSADOR AWARD
Recognizes an individual who has made a significant GOBY upon an arts & cultural Institution and/or the promotion of arts & culture in our community.
COMMUNITY MENTORSHIP AWARD
• cRecognizes an individual committed to service and philanthropy who, by example and mentorship, cultivates a spirit of service and philanthropy for the next generation.
The IMPACT Awards

The Stakeholders Regional Volunteer Center
915 Broadway, Box 15, Albany, NY 12207
IMPACT $10,000
Pre-event Visibility:
•
Logo recognition on the event invitation
•
Recognition in all event press releases
•
Logo Recognition in Capital District Business Review Ad announcing winners
•
Recognition on the IMPACT Awards website
•
Recognition on Stakeholders/IMPACT AWARDS Facebook, Twitter and LinkedIn
Event:
•
Company representative to give welcome remarks
•
Twenty Tickets to the IMPACT Awards
•
Logo recognition in the event program as a Sponsor and a Full-Page Ad
•
Volunteer photos and company logo highlighted in event presentation
•
Inclusion on all event signage
INSPIRE $7,500
Pre-event Visibility:
•
Name recognition on the event invitation
•
Recognition in all event press releases
•
Logo Recognition in Capital District Business Review Ad announcing winners
•
Recognition on the IMPACT Awards website
•
Recognition on Stakeholders/IMPACT AWARDS Facebook, Twitter and LinkedIn
Event:
•
Ten Tickets to the IMPACT Awards
•
Logo recognition in the event program as a Sponsor and a Half- Page Ad
•
Volunteer photos and company logo highlighted in event presentation
•
Inclusion on all event signage

The Stakeholders Regional Volunteer Center
915 Broadway, Box 15, Albany, NY 12207
CONNECT $5,000
Pre-event Visibility:
•
Name recognition on the event invitation
•
Recognition in all event press releases
•
Logo Recognition in Capital District Business Review Ad announcing winners
•
Recognition on the IMPACT Awards website
•
Recognition on Stakeholders/IMPACT AWARDS Facebook, Twitter and LinkedIn
Event:
•
Ten Tickets to the IMPACT Awards
•
Logo recognition in the event program as a Sponsor and a Quarter-Page Ad
•
Inclusion on all event signage
COMMUNITY STAKEHOLDER $2,500
Pre-event Visibility:
•
Name recognition on the event invitation
•
Recognition in all event press releases
•
Recognition on the IMPACT Awards website
•
Recognition on Stakeholders/IMPACT AWARDS Facebook, Twitter and LinkedIn
Event:
•
Five tickets to the IMPACT Awards
•
Logo recognition in the event program as a Sponsor
•
Inclusion on all event signage

The Stakeholders Regional Volunteer Center
915 Broadway, Box 15, Albany, NY 12207
RECEPTION SPONSOR $1,250
(Sponsors Pre-Award Ceremony Reception)
Event:
•
Two tickets
•
VIP Signage at Awards Reception
•
Logo recognition in the event program as a Sponsor
•
Inclusion on all event signage
INDIVIDUAL TICKETS: $100
HONORARY COMMITTEE: $125
Please mail this completed form to the address above or email as an attachment to ceo@TheStakeholders.org
Don’t miss this opportunity! To receive all sponsorship benefits, please let us know of your interest by
January 15, 2016.
Sponsorship Category: (Please select your sponsorship level below)
 Impact Sponsor ($10,000)
 Inspire Sponsor ($7,500)
 Community Stakeholder ($2,500)
 Reception Sponsor ($1,250)
 Connect Sponsor ($5,000)  Honorary Committee ($125)
Contact Information:
Name: ______________________________________________________________
Title: ______________________________________________________________
Company Name: _____________________________________________________
Address: ___________________________________________________________
Phone: _____________________________________________________________
E-Mail: _____________________________________________________________