AWARD NOMINATION CATEGORY: (Select one)
Philanthropist of the YearVolunteer of the YearOutstanding Youth in PhilanthropyEmerging Leader in Philanthropy
NOMINEE INFORMATION: (Name as it should appear on all printed materials and award)
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Name
Group/Org. Contact:
Address:
City, State, Zip:
Telephone:
Email
NOMINATOR INFORMATION:
Nominated By:
Organization:
SUPPORTING MATERIALS: ( .doc .docx or .pdf )
Your Letter of Support: (Required)
Additional Organizations Letters of Support: (Optional)
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