Nomination Information

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1. APWA Professional Service Award Categories (select one) (Required.)

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2. Candidate Name or Chapter Program

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3. Candidates Title (or Contact Name for Chapter Program)

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4. Candidates Agency or Organization

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5. Candidates Street Address

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6. Candidates City, State, Zip

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7. Candidates Phone Number

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8. Candidates e-mail address

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9. Narrative of nomination (please limit to 200 words, additional information will be requested if needed)

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10. Please upload a photo of the Candidate (if applicable).

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11. Additional photo upload (if desired)

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12. Please upload any additional/relevant information 

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