LifeShare Legacy Awards: Tag Agency Partner

This award honors a tag agency whose partnership has helped transform everyday interactions into lifesaving opportunities. Through commitment and collaboration, they advance the mission of donation across the communities they serve.

Tag Agency Partner Nominator Information

Nominator Name

First

Last

Nominator Email

Nominator Phone

Tag Agency Partner Nominee Information

Please provide accurate and up-to-date information. If you do not know the primary contact for your local Tag Agency location, please provide the business phone number.

Tag Agency Name

Tag Agency Address

Address Line 1

Address Line 2

City

State

Zip Code

Tag Agency Primary Contact

First

Last

at Nominator have

Tag Agency Primary Contact Email

Tag Agency Primary Contact Phone

Nomination Questions

Please provide detailed information on why you believe this nominee excels in supporting organ, eye and tissue donation in the community. We encourage you to also upload a brief 30 second video explaining why this nominee deserves the LifeShare Legacy Award for Tag Agency Partners.

Does any employee at this Tag Agency have a personal connection to organ, eye and tissue donation? If yes, what is their connection?

How has this Tag Agency supported organ, eye and tissue donation in the community? Please provide at least one specific example.

What makes this Tag Agency unique in their efforts to support organ, eye and tissue donation in the community?

What other community initiatives does this Tag Agency support?

Optional: Upload a 30 second video explaining why this Tag Agency should be awarded the LifeShare Legacy Award for Tag Agency Partners.

Drag & Drop Files, Choose Files to Upload You can upload up to 3 files.

Optional: Upload any supporting photos or documentation that would strengthen your nomination.

Drag & Drop Files, Choose Files to Upload

Upload any photos here.