Contact Information

Thank you for submitting a nomination for the 2019 Baton Rouge Area Volunteer Activists. Please be as complete and accurate as possible about the nominee’s volunteer activities. If you have any questions during your nomination process, please contact Brandi Monjure at bmonjure@emergela.org or 225-343-4232 ext. 1897.

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* 1. Your name:

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* 2. Your phone number:

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* 3. Your email address:

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* 4. Your mailing address:

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* 5. Nominee's name:

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* 6. Nominee's phone number:

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* 7. Nominee's email address:

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* 8. Nominee's mailing address:

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