Thanks for taking the time to submit a nomination for the 2013 Love in Action Awards. Please complete the following questions about your nominee and submit them. Please note that the nominator and the nominee must be available to attend the Love in Action Banquet on February 28, 2013 at 6pm at Muskegon Community College. If you have any questions about this process please call Dan Rinsema-Sybenga at MCC at (231) 777-0569.

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* 1. Nominator First and Last name:

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* 2. Nominator organization (if applicable):

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* 3. Nominator complete address:

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* 4. Nominator phone number:

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* 5. Nominator email:

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* 6. Nominee First and Last name (as to appear in program if selected):

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* 7. Nominee complete address:

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* 8. Nominee phone number:

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* 9. Nominee email address:

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* 10. Please describe and provide specific examples in each of the following categories: The first category is how the nominee acts as a Role Model/Mentor:

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* 11. Please describe and provide specific examples of how the nominee is involved in the community:

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* 12. Please describe and provide specific examples of how the nominee is an advocate for African-Americans:

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* 13. Please include a quote on why your nominee deserves the Love In Action award:

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