DUE BY OCTOBER 1, 2024
Name of Nominator
Nominator Email Address
Nominator Phone Number
Nominees Name
Nominees Email Address
Nominees Phone Number
Relationship of Nominator to Nominee
Description of Nominees contributions and attributes to community at large
( 250 words or less) Please include nominee special talents and gifts and how they utilize these to make the world a kinder, better place to live for all generations present and future. Examples may include how the nominee through art, music, education, activism, community outreach, health care, etc. impact the community) Please highlight reasons your nominee has made an impact in your life.
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