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* 1. Nominee Name:

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* 2. Company

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* 3. Community Involvement/Achievements:

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* 4. How has the candidate demonstrated the criteria of this award?
·       Empowers, inspires and fosters leadership in others
·       Serves with humility and empathy
·       Has a history of putting others first
·       Creates a culture of trust and collaboration
·       Gives of their time for the betterment of the community
·       Earns respect by leading with professionalism, integrity and excellence
·       Does NOT have to be a graduate of LMC.

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* 5. Nominated By:

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* 6. Email:

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* 7. Phone:

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