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* 1. NOMINEE Name and Basic Contact Information:

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* 2. NOMINATOR Name and Basic Contact Information (If different than the Nominee):

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* 3. For which award are you nominating this individual/program (select one per nomination):

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* 4. Please include a brief 200 word or less abstract summarizing your nomination:

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* 5. Please include a narrative statement of 500 – 1500 words indicating with more detail why this person/program should receive the selected award:

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* 6. Endorsement letters, news articles, and other supporting documentation may also be submitted along with this nomination. Only PDF, DOC, DOCX, PNG, JPG, JPEG, GIF files are supported, limited to 16MB.

PDF, DOC, DOCX, PNG, JPG, JPEG, GIF file types only.
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* 7. Additional Attachments (if desired)

PDF, DOC, DOCX, PNG, JPG, JPEG, GIF file types only.
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* 8. Additional Attachments (if desired)

PDF, DOC, DOCX, PNG, JPG, JPEG, GIF file types only.
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* 9. Additional Attachments (if desired)

PDF, DOC, DOCX, PNG, JPG, JPEG, GIF file types only.
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* 10. Additional Attachments (if desired)

PDF, DOC, DOCX, PNG, JPG, JPEG, GIF file types only.
Choose File
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