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* 1. I would like to nominate

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* 2. Please provide the contact details for the nominee:

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* 3. Your Contact Details:

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* 4. Are you a Renascent Staff

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* 5. Is your nominee an active member of the recovery community?

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* 6. Is your nominee an active Renascent Volunteer? Please select all that apply:

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* 7. How has the nominee impacted the recovery community, in particular Renascent?

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* 8. Why do you feel your nominee should be selected to receive the Dr. Ed and Bobby Yielding Guardian Angel Award?

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* 9. In your own words, how has this nominee inspired you?

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