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

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* 3. Your Phone Number

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* 4. Your Business Name

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* 5. Who are you nominating?

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* 6. Describe how the actions of your nominee contribute to the values and mission of your business.

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

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

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* 9. What impact has your nominee had on the community?

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* 10. Any additional comments or information about the nominee?

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