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IF YOU HAVE SOMEONE YOU WOULD LIKE TO NOMINATE FOR THE STAYING POWER AWARD THAT FIT THE CRITERIA ABOVE AND EXHIBIT TRUE STAYING POWER, PLEASE NOMINATE THEM BELOW!

Nominees Name *
Nominees Name
Nominees Phone Number *
Nominees Phone Number
Is the nominee 18 years or older? *
When did the nominee complete this program? *
When did the nominee complete this program?
Nominators Phone Number *
Nominators Phone Number