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1. My full name

Please answer each of the following questions about the person you are nominating:

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3. Their full name

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4. How do you know this individual?

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5. What have they done, overcome, given back, or chosen that you think is worth celebrating?

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6. Why do you think their story should be shared?

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7. Please provide their email address and phone number (if you have it).

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8. May we tell them you nominated them?

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