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Awards Nomination Form
Use this form to submit nominations.
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1
Nominee Category
*
This field is required.
Choose all that apply
Education
Non-Profit
Arts & Culture
Business
Community Advocacy
Entertainment
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2
Nominee's Name
*
This field is required.
First Name
Last Name
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3
Nominee's Phone Number
*
This field is required.
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4
Nominee's E-mail Address
example@example.com
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5
Relation to Nominee?
*
This field is required.
I.e. Spouse, Child, Co-worker, Boss.......
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6
Reason For Nomination
*
This field is required.
Explain why your nominee deserves this award.
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7
Your Name
*
This field is required.
First Name
Last Name
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8
Your E-mail Address
*
This field is required.
example@example.com
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9
Your Phone Number
*
This field is required.
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10
Please verify that you are human
*
This field is required.
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