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1. Name of Nominator (Required.)

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2. Email or Contact for Nominator

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3. Name of Individual being Nominated (Required.)

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4. Email or Contact for Individual being Nominated

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5. Briefly describe why you believe the nominee should be lifted up? Tell us how they are living out a certain call, amid uncertainty.

 (Required.)

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6. Is there anything that we should be aware of (or lift up) during our initial conversations with the nominee?

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7. Has this individual been active and involved in significant community service/social justice work?
If yes, please explain.

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