Awards Nomination Form 2011 Unsung Hero

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2011 Leadership Charlotte Legacy Awards

Unsung Hero Award

This individual works quietly behind the scenes for the good of the community and demonstrates leadership through dedication and service to the Charlotte-area community. He/She contributes time and talent, though not publicly heralded.

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?

Explain how this individual works quietly behind the scenes for the good of the Charlotte community:

Examples of how this individual demonstrates leadership through dedication and service:

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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