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DISTRICT 123(Updated July 2025)
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Community Service Award Nomination
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The District 123 Community Award is a prestigious award that
may be given annually to a Toastmaster who has made outstanding
contributions in the areas of communications and leadership.

The purpose of the award is to honor a Toastmaster who has made substantial
contributions in the areas of communications and leadership in his/her community.
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While the Selection Committee considers the number of points earned during the year, additional factors such as exemplifying the Toastmaster values of Integrity, Respect, Service, and Excellence, are taken into consideration and play a major role in the decision.
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Nominee First Name
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Nominee Last Name
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Nominee Company or Business Affiliation
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Nominee Address
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Nominee Phone Number
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Nominee Email
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Submittor First Name, Last Name
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Submittor Club
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Submittor Email
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Submittor Phone Number
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Why Are They Deserving:
Please provide up to one page of information about the nominee that explains why you believe that he/she is a worthy candidate for the award. Include specifics about what the individual has accomplished and why you feel that they merit the District 123 Community Service Award. Please do not exceed one page for this explanation.
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Further relevant details regarding the nomination may be included in a separate document.
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To the Attention of otya@toastmasters123.org
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