We are currently accepting nominations!

Please use the form below to nominate someone in the community who selflessly gives of themselves despite challenges or hardships, is positive in the face of adversity, or is just plain extraordinary and deserves a special surprise.

We will be in touch directly if your nominee has been chosen to receive a Random Act of Kindness. In the meantime, keep an eye out for the latest Random Acts of Kindness on BurlingtonToday.

Your name

City/Town

Your Email

Your Phone Number

Would you like to remain anonymous as the nominator?

Yes

Are you able to help set up the surprise or put us in touch with someone who can?

Yes

Nominee's Name

Nominee's Email

Nominee's Phone Number

Describe why the nominee is an ideal recipient for a Random Act of Kindness:

Suggestions on a meaningful gift for the nominee: