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2013 nomination form Harriet Tubman Award For Outstanding leadership

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The Multicultural Community Project’s will have the honor of awarding “The Harriet Tubman Outstanding Leadership Award”. This is your chance to be a part of history of her 100 year legacy! Nominate someone to receive the award. Click on the link or go to our website; www.cbfsi.biz/multiculturalcommunityproject. Please fill out the nomination form and email it to [email protected]. Nomination form link. Winners will be based on merit not on votes. To learn more about the remarkable life of Harriet Tubman click on the link below. http://en.wikipedia.org/wiki/Harriet_Tubman.

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Page 1: 2013 nomination form Harriet Tubman Award For Outstanding leadership

“The Harriet Tubman

Leadership Award”

2013 Nomination Form

Name of the Person

being Nominated

Title

Organization/Affiliation

Street Address

City State: ZIP:

Phone

Mobile

Email Address

Date: Nominated:

Provide reason(s) for Nomination (see selection guidelines)

I. Enhancement:

Page 2: 2013 nomination form Harriet Tubman Award For Outstanding leadership

II. Effectiveness:

III. Impact:

IV. Uniqueness:

Page 3: 2013 nomination form Harriet Tubman Award For Outstanding leadership

V. Longevity:

VI. Service:

VII. Commitment:

Page 4: 2013 nomination form Harriet Tubman Award For Outstanding leadership

Please attach supportive information with nomination, if more space is needed.

Also please attach any pictures of the nominee if you have one.

Thank you for your nomination!

Please email all nomination information to [email protected]

Name of the Nominator