Nomination Form

Leader of the Year Award

The Leader of the Year Award is presented to an individual whose outstanding leadership qualities best embody the vision promoted by Leadership Evergreen. A person who has demonstrated creative and innovative solutions to our greater mountain community issues.

Nominee:          _______________________________________________

Address:           _______________________________________________

Email:               _______________________________________________

Telephone Numbers: (Indicate Home, Cell or Office)

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Name of person making nomination:

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Address:           _______________________________________________

Email:               _______________________________________________

Telephone Numbers: (Indicate Home, Cell or Office)

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Please describe the reason for this nomination: (Additional material may be attached)

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