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Title
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Hollins Roundhouse
Poppleton
Franklin Square
Pigtown
Barre Circle
Union Square
Mount Clare
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Healthcare or Medicine
Education or Adult Literacy
Workforce Development
Commercial Development
Block Captain or Neighborhood Ambassador
Environment Preservation
Historic Prevention
Mentoring Youth/Teens
Public Safety
Housing
Advocacy or Human Rights
Disease Awareness (e.g., Cancer)
Other…
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0-6 months
6-12 months
2-5 years
6-10 years
Over 10 years
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Nominator Full Name
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Nominator email address
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Tell Us About the Person you are Nominating
Nominee Full Name
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What neighborhood does the nominee live, work, or worship in?
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What community need is the nominee addressing?
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How long has the nominee contributed to the community they are serving in?
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How does your nominee show achievement in projects and initiatives that strengthen and support Southwest Partnership area residents, families, schools, businesses, organizations, and/or communities?
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How does your nominee show consistency in their commitment to community leadership and engagement?
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How does your nominee increase longevity in support for neighborhood projects and initiatives?
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How does your nominee collaborate with community members, businesses, organizations, institutions, and government agencies who may have differing goals to achieve a stronger community?
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How does your nominee create resource development to increase community capacity?
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Please share a story about how this nominee inspires others to give back.
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