Partnership Award Nomination

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Recommendation Form ID
Form ID of associated recommendation form. Once set, do not alter.
Nominee Information
1st Organization*
Name of Organization involved in partnership.
Key Contact*
First Last
City*
City
Email*
Phone*
Website*
Brief description of organization:*
2nd Organization*
Name of Organization involved in partnership.
Key Contact*
First Last
City*
City
Email*
Phone*
Website*
Brief description of organization:*
Nominator Info
Nominator Name*
First Last
Relationship to Nominee (can be self-nomination)*
Employer*
City*
City State / Province / Region
Email*
Phone*

Nominee Information