<p> Garfield County Humanitarian Service Awards 2017 NOMINATION FORM</p><p>This nomination form and letters must be submitted by Friday February 24, 2017 at 4 pm, no exceptions!</p><p>Name of nominee: ______</p><p>Organization, if any: ______Title, if any: ______</p><p>Nomination Category: ______Volunteer ______Staff (Check one or both categories.)</p><p>Approximate age of nominee ______(Nominations can be submitted for people of any age.)</p><p>Nominee’s contact information:</p><p>Address: ______</p><p>City: ______State: ______Zip: ______</p><p>Daytime phone: ______Mobile phone: ______</p><p>E-mail: ______(Please submit this address so a committee member can contact your nominee.)</p><p>*************************************************************************************</p><p>Name of person submitting nomination: ______</p><p>Organization, if any: ______Title: ______</p><p>Nominator’s contact info:</p><p>Daytime phone: ______Mobile phone: ______</p><p>E-mail: ______</p><p>How did you hear about these awards radio newspaper other (describe)______. Please attach a letter explaining why you are nominating this person. . Nominations require supporting letters from at least three other people and no more than six. All letters must accompany this form. All materials should be emailed to [email protected] by 4 p.m. Friday February 24, 2017. Questions? Call (970) 456-8059. Thanks for your nomination. We hope to see you at the Humanitarian Service Awards event on Monday, April 3, 2017, 5:30 p.m., Grand River Hospital Ballroom, Rifle CO . . . coming soon, event details!</p>
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