i.e. The company that employs this cleaning worker.
Please note, the information that is entered in this field will be included in the Outstanding Cleaning Worker Awards Program.
Accepted file types: jpg, gif, pdf.
We strongly encourage uploading a picture of your cleaning worker.
Please enter your email address (the person who is doing the nominating).
Each nomination is $50.00 (this includes processing fees, the OCW medal award, program design, printing, etc).
Upon clicking on the "submit" button, you will be redirected to the Simon Institute PayPal Payment Portal. If you do not have a Paypal account, you can still pay by credit card via Paypal by clicking on the "Pay by credit card, debit card, or bill me later" link located on the right hand side.
If you do not wish to pay via credit card/debit card, click submit and send an email to firstname.lastname@example.org with a description of your payment needs.
Please note: If you select "Pay later with check" Simon Institute will send you an invoice. After clicking the "submit", you will be redirected to PayPal checkout services, however you do not need to proceed with Paypal Checkout.
This field is for validation purposes and should be left unchanged.