Queer Heroes NW 2023

Your Name (required)

Please enter your preferred name.

Your Email Address (required)

Please enter the best email address where we can reach you.

Zip Code (required)

Your Phone Number

If you would prefer that we contact you by phone, please enter the best number where we can reach you.

Nomination - Name (required)

Nomination - Contact Info (required)

Please provide as much contact information as possible for your nomination. Email and phone are preferred.

Why does your nominee deserve this recognition? (required)

Please describe specific events and/or activities that reflect your nominee's contributions as they relate to the criteria.

Nomination - Hi Res Photo (Upload)

Maximum size 5MB - For larger files, please email Heroes@GLAPN.org for submission instructions.

Nominations Form