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Nomination Form

We are currently accepting nominations for our 2020 Legacy Awards through February 1, 2020.

Nominee Award Category Please check one

High School Senior(2 available)
Business Owner or Manager
Citizen/Volunteer

Nominee Information

Name Telephone Address City State Zip Code Employer/School Position Business/School Address

Why are you nominating this person?

Why are you nominating this person?

Nominator Information

Name Telephone Address City State Zip Code How long have you known the nominee? How do you know the nominee?

Thank you for your nomination!

Nominees will be notified in January of 2020 of their nomination and will be required to fill out an application at that time to be considered for our 2020 Legacy Award.