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COMMUNITY SERVICE AWARD NOMINATION FORM


Good business isn't always measured in dollars and cents — it extends beyond your own company into the community at large. Help recognize companies leading the way in community consciousness and activism with your nomination.

Submissions Deadline: February 6, 2015

* Required fields
SUBMITTED BY
* Your Name:
* Company:
* Phone:
* Email:
NOMINEE INFORMATION
* Name:
* Company:
Address:
City:
State:
ZIP Code:
* Phone:
* Email:
* Significant Community Service Contribution: Briefly describe the program undertaken by this company in which it played a leadership role.
* Goals: Briefly describe the objectives of the program.
* Implementation: Briefly describe the steps taken to implement the program.
* Results: Briefly list the results of this program.