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Rising Star 2017

  • Nomination Info
  • Finish

If you have any questions regarding the completion of this form, please contact Janet Crink at 336-373-7020 or email

About the Nominee
What makes her a Rising Star?

Choose the criteria that describes the nominee’s contribution to our community. Select all that apply.

Impact in the Community

Describe the nominee’s impact in the community (300 words or less).

You have 300 words remaining.
Major Achievements

List and describe up to 3 of the nominee’s major achievements. (300 words or less)

You have 300 words remaining.
Tell Us The Story

What inspired you to choose your nominee? Share the story or anecdote.

You have 300 words remaining.

Please provide two or three references for the nominee representatives to contact concerning the nominee's positive impact in the community.

Reference 1
Reference 2
Reference 3
Nominator Info
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