If you have any questions regarding the completion of this form, please contact Janet Crink at 336-373-7020 or email email@example.com
Choose the criteria that describes the nominee’s contribution to our community. Select all that apply.
Describe the nominee’s impact in the community (300 words or less).
List and describe up to 3 of the nominee’s major achievements. (300 words or less)
What inspired you to choose your nominee? Share the story or anecdote.
Please provide two or three references for the nominee representatives to contact concerning the nominee's positive impact in the community.
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