On-Line Nomination
 
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  1. Name of Nominee:
    Name
  2. Nominee's Contact Information:
    Street Address
    Address (cont.)
    City
    State/Province
    Zip/Postal Code
    Country
    Home Phone
    E-mail
  3. Award Category:

    Arts
    Business
    Trevor Price Children's Award
    Courage
    Youth Advocate
    Learning Promotion
    Unsung Hero
    Teen Spirit
    Spirit of Sammamish

  4. What actions and/or behaviors taken by the nominee led you to nominate them?

     

  5. List and describe the characteristics of the nominee that you feel contribute to your desire to nominate them for this category.

     

  6. How did the actions and/or behaviors of the nominee impact our community?

     

  7. Submitted By:
    Name
    Title
    Organization
    Street Address
    Address (cont.)
    City
    State/Province
    Zip/Postal Code
    Country
    Home Phone
    E-mail
  8. Reference (a person who can verify your nominee):
    Name
    Title
    Organization
    Street Address
    Address (cont.)
    City
    State/Province
    Zip/Postal Code
    Country
    Home Phone
    E-mail