NOMINEE INFORMATION
Name (*)
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Home/Work Street Address (*)
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Nominee must live or work in Clark County
City
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Zip Code
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Home Phone (*)
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Cell Phone (*)
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Email (*)
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Years in Business in SW Washington (*)
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Please provide a short bio of the nominee including such items as business positions held (Owner, Partner, Manager, Supervisor); Volunteer or non-profit leadership positions including the name of the organization(s), number of years associated with each and any leadership positions held; Government or Public Service positions held including both elected and appointed positions and the total years of service in each or any position. Additionally, any philanthropic activities or contributions should be included here.
Biography Input
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Biography Upload Option
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Alternatively, you may upload a prepared biography instead of using the above text box. Valid file formats are: .doc, .docx, .pdf
If available. Upload a Resume
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Valid file formats are: .doc, .docx, .pdf
NOMINATOR INFORMATION
Nominator Name (*)
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Employer
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Email (*)
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Please provide your email so that we may contact you if any additional information is needed.
Day Phone
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Cell Phone (*)
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Relationship to Nominee (*)
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