FLY Awards Nomination Form

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If you have any questions about this form, please contact: lynne.mccracken@mccrackenalliance.com

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* 1. Contact Information

Nominee Name (as it will be announced at the Awards):

Title (if known):

Company Name (as it will be announced at the Awards):

City/Town:

State/Province:

Nominee Email:

Nominee Phone:

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* 2. Overview of Company (one overview paragraph of 125 words or less noting company characteristics and selected notable achievements):

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* 3. Provide brief bio of Nominee (one paragraph of 125 words or less):

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* 4. Please list why Nominee should be considered for this Award (i.e., generally the circumstances of note during the past 24 months. This performance will be evidenced by some of the following: insightfulness and creativity in the design, approach, team utilization, oversight and leadership worthy of special recognition.)

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* 5. Note any additional factors that should be considered (e.g., demonstrated commitment to community, special acknowledgements and recognitions, etc. Use bulleted response, if possible):

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* 6. If you are the Nominator, please enter your Name and Email or Phone Number:

Thank you for your nomination!