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CASE Award for Enterprising Social Innovation 2010-11 - Nomination Form
1. Nominator Information
Please tell us about the person submitting this nomination form.
1
. Who are you?
Who are you?
First Name
Last Name
Job Title
Company/Organization
2
. Nominator's contact information:
Nominator's contact information:
Email
Phone
3
. Which category best describes you:
Which category best describes you:
Fuqua MBA Student
Duke or Fuqua Alumni
Other Student
Professional
Other (please specify)
4
. I am nominating:
I am nominating:
An individual
A nonprofit organization
A for profit company
Other (please specify)
5
. Is this a self-nomination?
Is this a self-nomination?
Yes
No
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