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* 1. Nomination's Name

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* 2. Nomination's Age

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* 3. Is the entrepreneur a Worcester County resident?

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* 4. Business Established Date

Date

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* 5. Tell us what made them start a business? (Limit to 250 words)

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* 6. Business Social Media or Website Name 

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* 7. Any pictures you want included with our posts?

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* 8. Contact Information 

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