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* 1. Please list contact information for the nominee (name, phone number, email address) FIRST, and then your contact information: 

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* 3. How has their services/actions made a lasting or meaningful contribution or impact on their community?

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* 4. How long has the nominee been working for victims of domestic violence/sexual assault?

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* 5. Tell us about a time(s) when the nominee has gone above and beyond what's been asked of them: 

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* 6. Tell us why you believe the nominee deserves one of these awards:

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