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2016 Nomination Form
Your Name (Nominator)
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Your E-Mail
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Your Phone Number
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Your Address
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Your City
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Your Zip
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The name of the volunteer business or organization you are nominating
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Contact Name
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E-mail Address
If e-mail not available, please type N/A
Your answer
Phone Number
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Address
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City
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Zip
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Please indicate the award you are nominating this volunteer, business, or organization for:
( Nominate for ONE award only. The Judges reserve the right to change the category.)
Does this volunteer contribute time by the:
In that time, how many hours does this person, business or organization volunteer?
Your answer
If you are nominating a person, where does he/she volunteer?
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Keeping in mind the award you are nominating the person, business or organization for, how do they impact their community and why do they deserve this award?
(300-600 words
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