Information Request
Name of Nominee:
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First Name
Last Name
Address:
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Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Nominee's Employer:
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Nominee's Email:
*
Organizations with which the Nominee has been involved:
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YOUR Name:
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First Name
Last Name
YOUR Email:
*
example@example.com
Phone Number:
*
Please enter a valid phone number.
Which Award are you nominating this person/organization for? (Please choose one) *NOTE: Nominees can be nominated for more than one award, but a new form needs to be filled out for each nomination. The Athena Award is a separate nomination process.*
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Business of the Year
Small Business of the Year
Non-Profit Spotlight
Judith A. Rossi Educator of the Year
Donna D. Gority Servant Leadership
Joseph P. Rosenhamer Chamber Spirit
George Award
Why do you feel your nominee should receive this award?
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Submit
Should be Empty: