Please enter your phone number with area code here:
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Nominee's Name (First + Last): *
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Nominee's Email: *
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Nominee's phone number with area code here:
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Nominee's LinkedIn profile link:
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Nominee's Organization: *
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Nominee's Title: *
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Why are you nominating this individual? *
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What about this individual inspires you? *
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Do you or your organization plan on sponsoring this person's tuition? Tuition is $2,500 for Elevate Amarillo members and $2,650 for non-members of Elevate Amarillo. *
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