Connect SI

Volunteer

Success Stories Nomination Form

Connect SI is implementing a comprehensive marketing campaign utilizing television, radio, newspaper, press releases, direct mail and the internet. Our goal is to inspire positive change in our region and reveal the best of what Southern Illinois is today. The key element in the campaign will be the telling of Success Stories about Illinois' 20 southernmost counties. Do you know a Southern Illinois resident, group, business or organization whose story epitomizes regional collaboration, innovation, reaches beyond Southern Illinois boundaries, and would inspire others? Nominate them! To Nominate a Success Story out the form below and then click the submit button. Of course we can't guarantee that all nominations will be featured. But each nominee will be contacted for possible inclusion.

* Name of the resident, group, business, or organization you are nominating:
* Briefly explain why you think they are a good nominee:
   
Nominee's Information:
(please be as complete as possible)
Main Contact Person:
Mailing Address:
City:      
State:
ZIP Code:
   
Phone Number:
Email Address:
   
Your Information:
Your Name:
Your Phone Number:
Your Email Address:
   
 
  You must enter the letters above in the field below exactly as seen.