Community Self-Care Program

Official Nomination Application

For the Love of Beauty Community Self-Care Program Official Nomination Application

Thank you for helping us recognize someone in our community who may be going through a difficult time and could benefit from a little extra love, support, and self-care.

Nominee Full Name *Nominee Phone NumberNominee Email AddressNominee Full Home Address

Is the Nominee Employed

Full TimePart TimeNoOther:

Tell Us More About Them. Why are you nominating this person?What makes this person special? What are their interests & personality like?

Does the nominee have children?

YesNo

Photo Submission, please attach a photo(s) of the nominee or a meaningful photo that represents them.

Please List Below Your Personal Information as the Nominator. Name, Relationship to Nominee, Phone Number & Email:

Consent & Understanding

In checking the boxes off below you are allowing us to contact you as well as the nominee. If you wish to remain anonymous, please let us know.

I understand that submitting this form does not guarantee nominee selectionI confirm that the information provided is truthful to the best of my knowledge.I give permission for the nominee's story and/or transformation photos to be shared publicly (only if selected and approved)I give full permission for owner Kristy Ice and any other staff/students to contact nominee & yourself.I agree that in checking all of the above requirements that ALL services provided are complimentary and given out of kindness & compassion.I also understand that if the nominee is selected the service is a ONE TIME only session.

Print & Sign Below:Date Below:

Final Message

At For the Love of Beauty, we believe self-care is not a luxury — it's healing, empowering, and deeply meaningful. Thank you for helping us spread kindness throughout our community.

Official Nomination Application

For the Love of Beauty Community Self-Care Program Official Nomination Application

Age Range:

Is the Nominee Employed

What challenges or circumstances are they currently facing? (Check all that apply)

Does the nominee have children?

What self-care services do you think will benefit them most?

Consent & Understanding

Final Message