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Community Awards Nomination Form
To learn more about the nomination process and the awards, visit:
https://salidachamber.org/salida-colorado-community-awards
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* Indicates required question
Name of Nominee
*
Your answer
Please check one of the following categories
*
Man of the Year Award
Woman of the Year Award
From the Heart Award
The Cornerstone Award
Phone number of nominee
*
Your answer
Address of nominee
Your answer
Name of nominee spouse and/or children
Your answer
Nominee's Career history
Your answer
Why do you believe this person is qualified for this award?
*
Your answer
Nominee’s contributions and accomplishments in the community:
*
Your answer
Organizations nominee is involved in (professional, business, civic, etc.)
*
Your answer
Names of friends, acquaintances, and/or relatives who could provide more information,if necessary:
Your answer
Nominated by (your name) and phone number:
*
Your answer
Additional information you can provide helps our selection committee with the selection process. Please share any additional information that supports why you believe this person is qualified for the selected award:
Your answer
All nominations must be completed form by 5 p.m. on December 18, 2020. If you have any questions, please call the Salida Chamber at (719) 539-2068
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