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 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:

If other, please describe:

Nominee City of Residence:

Nominee County of Residence:

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?

YesNo

Contact Information