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***DO NOT USE THIS FORM IN 2018. SEE CORRECT FORM ON FACEBOOK PAGE***2017 Illinois Jaycees Individual Award Form
Complete the below questions to nominate members of your chapter to be recognized today!
Please select the category you are submitting the individual for. *
Name
Your answer
Chapter
Your answer
How many members has this person recruited?
Your answer
How has this person impacted his/herself during trimester?
Your answer
How has this person impacted his/her chapter during trimester?
Your answer
How has this person impacted his/her community during trimester?
Your answer
Other Comments
Your answer
What is your name/position?
Your answer
What is your email address? (or your President's)
Your answer
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