1.

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* 1. Name of Person you are nominating for an award (the nominee):

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* 2. Nominee's Employer

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* 3. Contact Phone # for Nominee

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* 4. Nominee's email address

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* 5. Select the award for nomination.

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* 6. Basis for nomination (Please explain why the nominee is deserving of the award and include specific examples, to support the award description):

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* 7. Name and contact information, including phone # & email address, of individual submtitting the nomination (your name):

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