2017 Santa Paula Latino Town Hall Awards Nomination Form
All nominations must be submitted by Friday, September15 , 2017 and recipients will be honored at the Santa Paula Latino Town Hall 21st Annual Awards Dinner on December 1, 2017.
Nominator
Please enter your name:
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Your Phone Number
Please enter your phone number (the best number at which to reach you). We ask for this information in the event that we need more information about the person or organization you are nominating.
Your answer
Your Email Address
Please enter your email address. We ask for this information in the event that we need more information about the person or organization you are nominating.
Your answer
Award Category
Please choose the award category for which you are nominating an individual or organization:
Nominee
Please enter the name of the person or organization you wish to nominate for an award:
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Nominee Contact Information
Please enter the phone number AND email for the person/organization your are nominating:
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Nomination Details
Please describe why you feel this individual or organization is deserving of your award nomination. Please provide as much detail as possible and give specific examples of service and/or accomplishments. The more detail you provide, the more likely it will be that the selection committee has enough information during the deliberation process to fully consider your nominee.
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