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Communication & Leadership Award Nomination

Please fill out the form below to submit your proposal.

The deadline for proposals is Saturday, April 15, 2017 at 11:59pm (PST).

If you have any questions regarding your submission or the selection process, please contact the District 96 Spring 2017 Conference Co-Chairs; Jenny Qian and Carolina Dias. They can be reached by email:

Your Information

Nominee Information

Why are you nominating this person?

Please provide up to one page of information about the nominee that explains why you believe that he/she is a worthy candidate for the award. Please include specifics about what the individual has accomplished and why you feel that they merit the District 96 Communication & Leadership Award.

Please do not exceed one page for this explanation.

Please upload one of the following file formats: doc, .pdf, .rtf, .docx, .txt

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