NORTH CAROLINA JAYCEES 2018 Outstanding Young North Carolinian
The North Carolina Jaycees will honor 1 most outstanding citizen. Each nominee will be judged by the following criteria:
- Contributions to the Community (50%)
- Evidence of Leadership Ability (25%)
- Evidence of Personal Progress (25%)

Deadline: Deadline for receipt of entries to state competition is July 9, 2018

Qualifications
1. Nominees must be between the ages of 21 and 40 as of January 1, 2018.
2. Nominees must demonstrate exemplary qualities of leadership during their lifetime.

Nomination Name *
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Birthdate *
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Mailing Address
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City/State/Zip
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Home Phone
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Employer
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Title/Position
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Education (Degrees/Honors/Etc.)
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Military
Civic, Fraternal, Religious Organizations/Affiliations
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Describe or outline the nominee's contributions to their community.
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Describe or give evidence of the nominee's leadership ability.
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Describe or give evidence of personal and/or business progress     
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Will Nominee be available to attend the State Awards Luncheon on August 4, 2018? *
Chapter Name *
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Email Address *
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