MY Project USA 2021 Award Nomination Form
Please answer the following questions and email any additional supporting materials to
info@myprojectusa.org
. The deadline to submit this form is Friday, Feb. 28th, 2021.
* Required
Your Name
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Your answer
Your Phone Number
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Your answer
Your Email Address
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Your answer
Your Relationship with Nominee
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Your answer
Name of the Nominee
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Your answer
Phone number & Email address of Nominee
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Your answer
Select an Award for Nomination
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Deah's Excellence in Community Services & Leadership Award
Deah's Community Service Award
Deah's Change Maker of The Year Award
The Chrys Gee Activist Award
Why do you think this nominee is a good fit for the award you've selected? Please give any details that will help the selection committee make their decision.
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Your answer
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