ICC 2024 Annual Achievement Awards Nomination Form
Nomination Deadline: October 11, 2024
Nominee
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First Name
Last Name
Nominee County
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Nominee Title
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Nominee Office Address
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Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone Number
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Please enter a valid phone number.
Format: (000) 000-0000.
Nominated for:
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Regional Distinguished County Commissioner of theYear North District
Regional Distinguished County Commissioner of theYear Central District
Regional Distinguished County Commissioner of theYear South District
Commissioner’s Legislative Service Award
Outstanding Team Effort for a Board of Commissioners
County Engineer of the Year
County Highway Supervisor of the Year
Outstanding Supportive Auditor of the Year
Outstanding Supportive Administrative Assistant of the Year
Nominated by
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First Name
Last Name
County or Company
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Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Please write a brief statement.
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In a few sentences you can explain why you think your nominee is Outstanding. Review the Awards Criteria to guide you in your explanation of the accomplishments of the nominee.
Submit
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