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2017 Leadership Belleville Alumni of the Year Award: Nomination
The Leadership Belleville Alumni Award recognizes an alumni who has made an impact through their service to the community and to the Chamber. All nominees must be a member of the Greater Belleville Chamber of Commerce and be an alumni of Leadership Belleville Program for more than 5 years.

Please contact The Chamber with any questions, 618.233.2015.
Deadline: November 15, 2017

Name of Nominee
Your answer
What year did this person graduate from Leadership Belleville?
Your answer
Service to the Community
Please justify in writing for nominating this person based on the following criteria:
Why do you believe the nominee is the best person to receive this award?
Your answer
Please list the nominee's past and present professional and volunteer contributions to the community and the Greater Belleville Chamber of Commerce.
Your answer
Nominee Contact Information
Company Name
Your answer
Phone
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Email
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Company Address
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City
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State
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Zip Code
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Your Contact Information
Name
Your answer
Phone
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Email
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Address
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City
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State
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Zip Code
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