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* 1. Showcase Title:

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* 2. Jurisdiction Name:

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* 3. Jurisdiction Population:

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* 4. Would you like this application to be considered for an Innovation Award?

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* 5. Check which category your application applies to (can choose more than one):

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* 6. At a glance – describe your innovation. 200 word maximum.

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* 7. What is the problem you addressed? 200 word maximum.

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* 8. What were the solution(s) used? 200 word maximum.

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* 9. What were the outcomes? List as many as you would like.

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* 10. What’s innovative about it? 500 word maximum.

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* 11. Who should consider applying this innovation? 200 word maximum.

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* 12. Anything else you want the review committee to know?

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* 13. Do you have support materials you would like the review committee to consider? (NOT REQUIRED)

DOCX, DOC, JPEG, GIF, JPG, PDF file types only.
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Project Leader Information (Main Point of Contact)

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* 14. Full Name:

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* 15. Title:

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* 16. Department:

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* 17. Email:

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* 18. Phone:

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* 19. Address:

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* 20. City:

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* 21. State/Province:

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* 22. Zip/postal code:

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* 23. Country:

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