MCCA members in good standing are eligible to nominate up to 5 volunteers who have exceeded their usual responsibilities and made a substantial impact on their community.

Each nomination costs $100. A separate form must be filled out for each nomination.

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1. Your Name (Required.)

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3. Your Phone Number (Required.)

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4. Your Business Name (Required.)

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5. Who are you nominating? (Required.)

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6. Describe how the actions of your nominee contribute to the values and mission of your business. (Required.)

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7. Which of the following values has your nominee demonstrated? Select all that apply. (Required.)

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8. Please provide specific examples of how your nominee has gone above and beyond their normal duties. (Required.)

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9. What impact has your nominee had on the community? (Required.)

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10. Any additional comments or information about the nominee? (Required.)

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