Community Impact Award Nomination Form 2024

The Midwest Roofing Contractor Association Community Impact Award recognizes a MRCA Member Company that has demonstrated a commitment to improving the well-being of communities or individuals through philanthropy or community service demonstrated at a local or national level.

1. Must be an active member of MRCA
2. Contribution (gift or service) must have been performed between January 2023 and July 2024
3. Must include testimonial(s) from recipient of the gift or service
4. Must include high-resolution photos representing the company's contribution or project's team (jpg, png, pdf, eps file types accepted)
5. Must have nominations in by August 1, 2024
Please complete the following information about the company you would like to nominate to receive the MRCA Community Impact Award.
Complete and accurate information will help the selection committee in making its determination and will likewise assist your nominee in receiving appropriate consideration.

YOUR Information

Your First Name:
Your Last Name:
Your Company:
Phone where you can be reached:
E-Mail for confirmation of receipt:

NOMINEE Information

Nominee's Contact Name:
Nominee's Company:
Nominee's Address:
State: Zip:
Nominee's Phone:
Nominee's E-Mail:

Describe the company's contribution (gift or service):

Testimonial and Photos of Contribution

Nominations are to include a testimonial from the recipient of the contribution. Nominations are also to include a minimum of TWO high-resolution digital photos of the project, nominee, and/or recipient. Preferred file types for photos are pdf, png, jpg, or eps.

Please send testimonials and photos to Megan Pope at:
- via email
- MRCA 7250 Poe Ave., Suite 410 Dayton, OH 45414 via mail
- 937-278-0317 via fax
PLEASE NOTE: Deadline for nominations and the accompanying testimonial and photos is August 1st.
There is no fee for submitting a Community Impact Award nomination.
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