2026 Doers & Difference Makers Fellowship Nomination Form
Before you continue: Are you nominating someone else?
If yes, then great! Proceed with filling out this form.
Or are you applying to the Fellowship yourself? If so,
please sign up and complete the form on our Fellowship portal
.
All information on the Boettcher Foundation's Doers & Difference Makers Fellowship
can be found here.
All nominations are due on Friday, May 15, 2026.
IMPORTANT:
Applicants for the Doers & Difference Makers Fellowship must physically reside in the state of Colorado in order to be considered.
First Name
Last Name
What organization are you affiliated with?
What is your role/title?
If applicable, what is your affiliation with the Boettcher Foundation?
Please select...
Boettcher Scholar/Alum
Boettcher Fellow/Alum
Leadership Practitioners Collaborative
Rural Leaders Collaborative
Current/Former Boettcher Grant Recipient
Other
Please share your contact information below. It is possible we may contact you via phone or email if we have questions regarding your nomination submission.
Please list your preferred email address.
Please list your preferred cell phone number.
Nominee First Name
Nominee Last Name
Please indicate what sector this individual is associated with. Click all that apply:
Education
Nonprofit
Private/Entrepreneur
Government
Other, please describe:
If other, please describe:
Nominee City of Residence:
Nominee County of Residence:
Please select...
Adams County
Alamosa County
Arapahoe County
Archuleta County
Baca County
Bent County
Boulder County
Broomfield County
Chaffee County
Cheyenne County
Clear Creek County
Conejos County
Costilla County
Crowley County
Custer County
Delta County
Denver County
Dolores County
Douglas County
Eagle County
El Paso County
Elbert County
Fremont County
Garfield County
Gilpin County
Grand County
Gunnison County
Hinsdale County
Huerfano County
Jackson County
Jefferson County
Kiowa County
Kit Carson County
La Plata County
Lake County
Larimer County
Las Animas County
Lincoln County
Logan County
Mesa County
Mineral County
Moffat County
Montezuma County
Montrose County
Morgan County
Otero County
Ouray County
Park County
Phillips County
Pitkin County
Prowers County
Pueblo County
Rio Blanco County
Rio Grande County
Routt County
Saguache County
San Juan County
San Miguel County
Sedgwick County
Summit County
Teller County
Washington County
Weld County
Yuma County
Why are you nominating this individual? (Limit response to 250 words)
Please briefly describe your relationship with the nominee (limit response to 15 words)
Please list the email address for your nominee.
Please list the cell phone number for your nominee.
Do you consent to our disclosure to the nominee that you nominated them?
Yes
No
Contact Information