Vote for Our First Annual Life Changer Award

    Who would you like to nominate for a Life Changer Award? (Required)

    Which category are you nominating this person for? (Required)

    Message - Tell us a little bit about how this nominee has helped in the field of Domestic Violence. If category of nominee is Other, please describe here.

    Nominee's Info - How can we contact this nominee?

    Your First Name (Required)

    Your Last Name (Required)

    Your Email Address (required)

    Your Phone (required)