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Name
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Email
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Phone
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Basic Information:
Who are you nominating?
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What is their role in the community?
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Please Select your role
Business Owner
Volunteer
Educator
First Responder
Artist
Athlete
Other - please specify
Other Role
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What category best fits their contribution?
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What category best fits their contribution?
Community Service
Business & Entrepreneurship
Arts & Culture
Sports & Recreation
Education
Other - please specify
Other category
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How do you know them?
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How do you know them?
Friend
Family Member
Colleague
Community Member
Other - please specify
Other way to know us
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Reason for Nomination:
Why are you nominating this person?
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Why are you nominating this person?
Inspires Others
Gives Back to the Community
Has Made a Big Impact
Overcame Challenges
Other - please specify
Other reason nominating person
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What makes them stand out?
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What makes them stand out?
Leadership
Creativity
Dedication
Innovation
Resilience
Other - please specify
Other standout point
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Additional Details:
Nominee's Phone
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Nominee's Email
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Would they be open to a public feature?
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Would they be open to a public feature?
Yes
No
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Do they have a business or organization they are affiliated with?
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Do they have a business or organization they are affiliated with?
Yes – please specify
No
Unsure
Other Business
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Would you like to remain anonymous?
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Would you like to remain anonymous?
Yes
No
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