MANIFESTATIONS WORLDWIDE
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Date *
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DD
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YYYY
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Nominator's Name *
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Nominator's Phone Number *
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Nominee's Name *
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Nominee's Phone Number *
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a. How did the nominee impact your community? *
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b. Is the individual impacting the community as part of an organizational affiliation? *
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c. Does the individual utilize their own resources to help the community? *
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d. What demographic (age group) does the nominee impact? *
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e. If you had to introduce the nominee to an audience what would you say about the individual? *
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