International Community Service Award Nomination Form

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name) this Name

Nominee's Name (Person you are nominating) *

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Nominee's Phone Number

Nominee's Email *

Nominator's Name (Your name) *

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Nominator's Phone Number

Nominator's Email *

Nominator's Organization/Business Name (optional)

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Write a paragraph about the nominee's contributions to merit this award and positive contributions he or she has made.

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