Government Leader of the Year2018-04-13T10:17:29+00:00

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29th Annual Awards Dinner Nomination

Government Leader of the Year Nomination Form

ENTRIES MUST BE RECEIVED BY June 15, 2018. Supporting information including photos and documents can be uploaded at the bottom of the nomination page.

Please complete the information requested below.

Nominating Company / Organization *

Nominator Full Name *

Nominator Job Title *

Nominator Address *

Nominator City *

Nominator State *

Nominator Zip *

Nominator Email Address *

Nominator Telephone including area code *

Please nominate up to three individuals. Include a summary of reasons for nominating your first choice.

Nominee’s Full Name *

Nominee’s Job Title *

Nominee’s Company/Organization Name *

Summary *

Upload Supporting Documentation (not required)

2nd Nominee’s Full Name

2nd Nominee’s Job Title

2nd Nominee’s Company/Organization Name

Summary for 2nd Nominee

Upload Supporting Documentation (not required)

3rd Nominee’s Full Name

3rd Nominee’s Job Title

3rd Nominee’s Company/Organization Name

Summary for 3rd Nominee

Upload Supporting Documentation (not required)