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2. 
4. The James M. Ragland Award recognizes exceptional volunteers in the public sector.
8. PLEASE ENTER YOUR INFORMATION BELOW:
10. What is YOUR name?*

    (not the nominee)

12. What is YOUR email?*

    (not the nominee)

13. What is YOUR phone number?*

    (not the nominee)

17. PLEASE ENTER NOMINEE'S INFORMATION BELOW:
19. Nominee's name:*
21. Nominee's email: *
22. Nominee's phone number: *
24. What organization/s does the nominee serve? *
26. Describe the nominee's public sector volunteer service?*

    (please be specific)

28. How long has the nominee performed this service?*
30. How has this effort benefitted the community?*
32. What awards or recognition has the nominee received for this service?
34. What other information about the nominee should be considered?*
38. Signature*

    (enter your full name)

Leave This Blank:


40. 1. Receive an email copy of this form.
41. Email address

    This field is not part of the form submission.

42. Submit

* indicates a required field