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* 1. Please complete contact information for your nominee.

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* 2. Please check which award you are nominating this person for.

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* 3. Please provide Nominee's background information.

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* 4. Please provide your reasons for nominating this woman. Include how you know her and the length of time you have known her.

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* 5. What are her engagements outside of work, i.e., volunteer/family life.

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* 6. Do you wish this nomination to be confidential?

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* 7. Your contact information

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