REALTOR® Spirit Award Application

We encourage each applicant to attach a resume, testimonials, broker references and any additional information that will be helpful in the consideration of recipients.

Fields marked with an asterisk (*) are required.

Nominee:

Name *

Real Estate Designations *

(ABR, CRS, etc.)

Company *

Address *

Phone Number *

E-mail *

Birth Date *

City and State*

Fax Number

Website *

Phone Number *

Desginated Broker *

Phone Number *

If you are completing this application and you are not the nominee, please also provide your ...

Name

Company

Address

Phone

City and State

How you know the nominee

Community Program(s) Served

(This organization will receive the grant money if you are selected as a REALTOR® Spirit Award winner. It must be a 501(c)3 nonprofit. If there is more than one organization, please attach an additional sheet. However, if the nominee is determined to be the winner of the REALTOR® Spirit Award, the nominee must choose only ONE 501(c)3 nonprofit to receive a monetary grant from LIBOR.)

Organization Name *

Address *

Phone *

E-mail *

City and State *

Fax

Website *

Is this organization a 501(c)3 nonprofit? *

Yes
No

EIN (Employee Identification Number) *

Nature of the community work the nominee performed (brief description of the organization and the candidate’s contribution) *

How long has the nominee been volunteering with this organization? *

Briefly describe the results of the nominee's volunteer work: *

Who may we contact at the organization to verify the nominee’s involvement? *

Name *

Charity / Title *

Address *

Phone *

City and State *

Email *

List Any Additional Organizations (Separated by Commas)

Personal Contribution

(Nominees should have made a significant contribution of personal time, but contributions of money, materials, or other resources will be considered by the judges.

Important Note: This information is required. Although you may not keep exact records of your contribution, we must have your best estimate in order to evaluate the entry.

Unpaid hours the nominee personally contributed to this organization from January 2022 to present (approx. 12 months): *

Volunteer hours the nominee personally recruited from others to work for this organization from January 2022 to present (approx. 12 months): *

Dollars, materials or resources other than time the nominee personally contributed to this organization from January 2022 to present (approx. 12 months): *

Dollars the nominee personally raised for this organization from January 2022 to present (approx. 12 months): *

Number of people served by the nominee’s volunteer work (approx.): *

Is the nominee compensated for any portion of the community service work described in this application?*

Yes
No

(If yes, please explain.)

Does the nominee perform the community service as part of his or her duties as an employee or corporate officer of a real estate company? *

Yes
No

(If yes, please explain.)

ESSAY Explanation of Contribution

In no more than 500 words, describe how the nominee’s efforts have made the community a better place to live.

Use this field for your response

Verification of Involvement

Please attach published reports or testimonials from the organization or individuals served that document the nominee’s activities. These documents should attest to the individual involvement of the nominee. Please highlight the nominee’s name in documents where it is not immediately evident.

File Upload

Eligible file types: .doc, .docx, .pdf

Nominee has been a REALTOR® since (year) *

By typing my full name below, I certify that to the best of my knowledge, all of the information provided is true and accurate. *

Please type your full name in the box above

I am ...

the Nominee
NOT the Nominee

Who should we notify about the REALTOR® Spirit Award results?:

Name *

Company / Charity *

Address *

Phone *

City and State *

Email *

Send completed official entry form with all attachments to: Long Island Board of REALTORS® REALTOR® Spirit Award 300 Sunrise Highway West Babylon, NY 11704 Attn: Christina DeFalco-Romano

For receipt by July 31, 2023 @ 5 p.m. E.S.T

Nominees must be members in good standing of the Long Island Board of REALTORS® and the National Association of REALTORS®.
Nominees should have contributed to a program that improves the livability of a community. Those activities aren’t limited to real estate or housing issues and are not limited to Queens/Nassau/Suffolk/Kings counties.
Nominees should have made a significant contribution of personal time, but contributions of money, materials, or other resources will be considered by the judges as well. A monetary donation alone – regardless of amount – is NOT sufficient.
Nominees will be judged on level of personal contribution, impact of personal contribution, and the nominee’s suitability as a role model for other REALTORS®.
The award is intended to recognize individual contributions, not association- or company-wide efforts.
Some portion of the nominee’s community work must have taken place between during the time period indicated, but judges will also consider ongoing efforts outside that time frame that demonstrate a depth of commitment.
REALTORS® may nominate themselves or may be nominated by someone else, such as another LIBOR member, a state or local association, or the community organization they served.
Grant will only be issued to a 501(c)3 nonprofit organization.

RSA recipient will be announced in November 2023.

Questions? Please call 631.661.4800 ext. 358

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REALTOR® Spirit Award Application

Nominee:

Community Program(s) Served

Personal Contribution

ESSAY Explanation of Contribution

Verification of Involvement