LOCAL LEADERS NOMINATION FORM 2022

Nomination guidelines:

Must be between the ages of 22-35
Achieved a level of success in a cause dear to them and their community
A proactive citizen that gives liberty a great name
Must be nominated by someone other than the nominee

Nominations must be submitted by midnight ET on May 6, 2022. Winners will be notified in mid-May and will be invited to receive their award at the Annual Gala and Awards Showcase on May 26, 2022 in Washington, DC.

Nominee Info:

Question Title

* 1. Contact Information

Name

City/Town

State

Phone

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* 2. Age

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* 3. Employer

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* 4. Title

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* 5. Please describe the nominee's professional background and relevant experience.

Question Title

* 6. In detail, please describe why the nominee is deserving of a Local Leader Award. (Answers may be used for promotional purposes.)

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* 7. Please provide links to examples of the nominee's work.

Question Title

* 8. Submitted By:

Name

Company

City/Town

State

Email Address

Phone Number

Thank you for nominating an inspiring young leader for a 2022 Local Leader Award! Winners will be announced in May.