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Email address
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Section 8 of 8
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Nominator Contact Information
Nominator Name
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Nominator Company/Organization
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Nominator Business Address
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Nominator Phone Number
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Nominator Email Address
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Nominee Contact Information
Nominee Name
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Nominee Company/Organization
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Nominee Home Address
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Nominee Business Address
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Nominee Phone Number
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Nominee Email Address
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PROFESSIONAL LEADERSHIP
Provide specific examples of how the nominee has demonstrated excellence, creativity and initiative in their business or profession.
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COMMUNITY LEADERSHIP
Provide specific examples of how the nominee provides valuable service to improve the quality of life for others in their community. Include type and length of service in civic and service organizations and initiatives.
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PERSONAL LEADERSHIP/MENTORSHIP
Provide specific examples of how the nominee has actively assisted individuals in achieving their full leadership potential and/or demonstrated support for their personal and professional advancement.
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ADDITIONAL INFORMATION PERTAINING TO CRITERIA
Include any additional information you feel is important for consideration of your nominee. Include awards, honors, publications, articles and/or testimonials that demonstrate service to their profession, community, and most importantly, aspiring and established leaders. (upload any supporting documents here)
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