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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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