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Nominee Profile and Narrative
Nominee: Please submit the information below, including the Nominee Narrative by 2/17/2022. The narrative is limited to 300 words and will be used for judging by the independent panel of judges.
Nominee Information
Nominated By
required
Nominee Profile
Name
required
Title / Degree
required
Home Address
required
Preferred Contact Number
required
Preferred Email
required
Please list up to 3 organizations for whom you have volunteered over the last 5 years.
Organization #1
Length of time
Organization #2
Length of time
Organization #3
Length of time
NOMINEE NARRATIVE: Please describe your role and contribution within these organizations, maximum 300 Words, please!
required
ADDITIONAL INFORMATION:
More information about our VIP reception, honoring our nominees, nominators, and sponsors will be coming.
Contact Ann Marie Moosai with any questions: nominate4wod@gmail.com or 561-809-0280.
Verification
required
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