Awards Nomination Form 2011 Community Service

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2011 Leadership Charlotte Legacy Awards

Community Service Award Nomination Form

This organization has enriched and improved the quality of life in our community through creativity and innovation in community service.

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 ORGANIZATION

Nominee Contact Name

Nominee Address:

Nominee Phone:

Nominee Email:

Explain how this organization has enriched and improved the quality of life in the Charlotte community:

Examples of creativity and innovation in community service:

Affiliations and collaborations:

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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