Choose One:
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I'm submitting my own story
I'm submitting a story about someone else
Your Name
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First Name
Last Name
Your Phone Number
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-
Area Code
Phone Number
Your Email
*
example@example.com
Your City/Location
*
Nominee's Name
*
Nominee's City/Location
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Are you an Iowa native?
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Yes
No
If yes, did you live out of state for any period of time (e.g., for college or another job)?
Yes
No
If no, where are you originally from? What brought you to Iowa?
Is your nominee a native Iowan?
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Yes
No
Not sure
If no, where is your nominee originally from? What brought him or her to Iowa?
Share your Iowa story! Be sure to include details about what makes this "Iowa Story" unique.
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What qualities is this person known for among his or her colleagues and in the community?
*
Would you be comfortable being interviewed on camera?
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Yes
No
Would your nominee be comfortable being interviewed on camera?
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Yes
No
Not sure
If this story is selected to be featured, what's the best way to contact you?
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Phone
Email
If this story is selected to be featured, what's the best way to contact your nominee?
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Through you
Contact him or her directly
Nominee's Phone Number
-
Area Code
Phone Number
Nominee's Email
example@example.com
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