* 1. Your Name

* 2. Your Email Address

* 3. Your Phone Number

* 4. Person Who You Are Nominating

* 5. Person's Phone Number

* 6. Person's Email Address (if available)

* 7. In 30 words on less, how has this person impacted your life?

* 8. In 30 words or less, what "Whit" qualities does this person have?

* 9. In 30 words or less, why should this person receive the John Avery Whittaker Award?

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