2014 Man/Woman of the Year Nomination
Please fill out to the best of your ability. If you have any questions, contact Kim Durand
kdrotary@hotmail.com
* Required
Your Name
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This is the name of the nominator, not the nomitatee
Your answer
Your e-mail
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So we can confirm nomiation form and alert you if your candidate was chosen.
Your answer
Nominee's Name
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Who is the wonderful person deserving of this recognition?
Your answer
Is this a nomination for a Man or Woman?
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We'll select one from each category.
Male
Female
Required
Nominee's Club/Organization?
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Which club/organization best represents the nominee?
Your answer
Narrative:
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Include 1) work within the club/organization 2) in the wider community 3) any additional recognitions or awards. Emphasis should be placed on contributions to the community.
Your answer
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