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This award recognizes an organization that has made outstanding contributions to the fields of teen pregnancy prevention and adolescent health and should have a sustained record of successfully addressing these issue areas locally, regionally or statewide. Nominated organizations may be public, private or not-for-profit and represent education, social welfare, medicine, a community organization or other appropriate entity. Nominations are due on or before March 31, 2023.

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* 1. Name of organization being nominated:

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* 2. Location (city/town) of organization being nominated:

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* 3. Contact information for person within nominated organization - email/phone: *

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* 4. In 750 words or less, tell us why this organization should be honored: *

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* 5. Name of nominator: *

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* 6. Contact information of nominator - email/phone: *

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