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* 1. Name of Nominator

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* 2. Email or Contact for Nominator

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* 3. Name of Individual being Nominated

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* 4. Email or Contact for Individual being Nominated

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* 5. Briefly describe why you believe the nominee should be lifted up? Tell us how they are living out a certain call, amid uncertainty.

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* 6. Is there anything that we should be aware of (or lift up) during our initial conversations with the nominee?

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* 7. Has this individual been active and involved in significant community service/social justice work?
If yes, please explain.

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