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High Spirited Citizen Award - Nominee Biography Form
Thank you for taking the time to fill out our form!
Nominee First Name:
Nominee Last Name:
Nominee Address 1:
Nominee Address 2:
Nominee City:
Nominee State/Province:
Nominee Country:
Nominee Zip/Postal Code:
Nominee Day Phone Number:
Nominee Email Address:
Nominator First Name:
Nominator Last Name:
Nominator Day Phone Number:
Nominator Work Number:
Nominator E-mail Address:
Please list nominee's major volunteer accomplishments within the last few years (that were not a designated part of his/her job responsibilities).
Affiliations (Organizations, Clubs, Etc.):
Honors and Awards:
Other Comments:
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ICVB 222 W. Las Colinas Blvd., Suite 1550 Irving, TX 75039
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