Guidelines 
1. The individual, business, or organization must have made a contribution to Pueblo in a significant public health scope. 
2. The individual, business, or organization must be a public health role model and live or have lived in the Pueblo Community. 
3. The individual, business, or organization must have contributed to promoting the health or protecting the environment of Pueblo County over time verses a onetime situation. 
4. Nominees and/or their family will be informed of the award. 
5. The nominator is responsible for preparing a submission up to 300 words (bulleted list preferred) describing the contributions of the nominee. This summary will be included in a handout distributed at the award presentation ceremony. 
6. Current Health Department employees, Board of Health members, and Health Department contractors are not eligible for recognition. 

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* 1. Name of Nominee

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* 2. Nominee's Email

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* 3. Nominee's Phone Number

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* 4. Provide basic information about why you are nominating this individual, business, or organization. Be specific, give dates, and outcome details. Include a minimum of three examples. Please limit your remarks to 300 words, bullet points preferred. 

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* 5. Your Name

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* 6. Your Email

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* 7. Your Phone Number

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