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COMMUNITY IMPACT AWARD NOMINATION FORM

The Community Impact Award is presented to an organization or individual that has demonstrated consistent, meaningful impact in their community. Individuals and businesses are encouraged to submit self-nominations.

All information will be kept confidential and will only be shown to judges of the awards.

NOMINATION DEADLINE: SEPTEMBER 9
Nominator Information:
1.Name:(Required.)
2.Email:(Required.)
Nominee Information:
3.Nominee (business or individual) name:(Required.)
4.Briefly explain why this business/individual is deserving of a nomination:(Required.)