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Nominate someone that lives, works or volunteers in the following geographic areas:
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Nominee's geographic location:
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Nominee First & Last Name:
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Nominee Age (must be under 40 years of age):
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Nominee Place of Employment:
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Nominee Job Title:
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Nominee LinkedIn Profile URL:
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Nominees Email Address:
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Nominees Phone #:
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Please describe the nominee's career path and/or current position:
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How has the nominee made an impact on the community?
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How has the nominee exhibited any or all of the following qualities:  drive, motivation, forward-thinking attitude, innovation, community involvement, and/or leadership?
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Does the nominee currently volunteer? If so, where and how long has he/she volunteered?
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Is there anything else about the nominee that you would like to tell us?
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If you are not the nominee, please complete the following:
First & Last Name:
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Contact Phone Number:
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Email Address:
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Relationship to Nominee:
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