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* 1. Please provide the complete set of contact information for the award nominee.

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* 2. If selected, will the nominee accept the award?

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* 3. Please describe the nominee's most valuable contribution(s). Provide specific examples.

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* 4. List stakeholders and beneficiaries of the nominee's contributions. Include name and email information if the stakeholder can provide a testimonial concerning this award nomination.

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* 5. Describe the effects and/or outcomes of the nominee's contributions that were discussed earlier. Specifically, how did the nominee's contributions directly affect the improvement of information sharing in the justice, public safety, and/or homeland security domain(s).

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* 6. Briefly describe the nominator's relationship with the nominee. 

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* 7. Please include your contact information as the nominator.

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