Difference Makers Nomination Form

BusinessWest is pleased to announce that it is now accepting nominations for its Difference Makers class of 2022. This program, initiated in 2009, is a celebration of individuals, groups, organizations, and families that are positively impacting the Pioneer Valley and are, as the name suggests, making a difference in this region. As previous classes have shown, there are many ways to do this: through work within the community on one or many initiatives to improve quality of life; through success in business, public service, or education; through contributions that inspire others to get involved; through imaginative efforts to help solve one or more societal issues; or through a combination of the above.

Please submit all Difference Makers nominations for 2022 by December 9, 2021 at 5 p.m.

If using mobile device to submit nomination, please make sure your phone is in Portrait view mode.

Difference Makers Nomination

BusinessWest Marketing
1441 Main Street, Springfield, MA 01103
or FAX: (413) 781-3930

I would like to nominate:

Nominee's Contact Information:
Nominee's Name*
First Last
Job Title/Position*
Current Company Name*
Current Company Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Company Phone Number*
Nominee's Email Address*
Why are they a Difference Maker*
Explain in some detail (no more than 500 words) why this nominee should be honored as a Difference Maker
Nominated by (your information):
Your Name*
First Last
Job Title/Position*
Company Name*
Phone Number*
Email Address*
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