Awards Nomination Form 2011 Newcomer of the Year

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2011 Leadership Charlotte Legacy Awards

Newcomer of the Year Award

This individual, who has lived in Charlotte less than five years, has actively sought opportunities to improve the quality of life in our community. He/She has made significant contributions, both personally and professionally, to the betterment of Charlotte.

Please submit one (1) nomination per form.

Nominator Name:

Nominator Phone:

Nominator Email:

Are you a Leadership Charlotte Graduate?

Yes

If yes, what class?

NOMINEE NAME:

Nominee Business:

Nominee Address:

Nominee Phone:

Nominee Email:

Is the nominee a Leadership Charlotte graduate? (not a requirement for this award):

Yes

If yes, what class?

How long has this individual lived in Charlotte?

Explain how this individual has actively sought opportunities to improve the quality of life in our community:

Personal contributions to the betterment of Charlotte:

Professional contributions to the betterment of Charlotte:

Other notable professional accomplishments:

Other notable civic contributions:

Board Participation:

Affiliations:

Notable awards recognition:

Other information you would like to share about the nominee:

Contact Name:

Contact Phone:

Contact Email:

To help us avoid computer generated inquiries and spam, please enter the letters and numbers exactly as you see them in the box below.

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