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UA Community Impact Awards Submission Form

Submission Form

PERSON SUBMITTING NOMINEE

Full Name

Please let us know your name.
Organization

Please let us know what organization you work for.
Email

Please let us know your email address.

PERSON BEING NOMINATED

Award Category




Please select a category.
Full Name

Please tell us the nominee's name.
Organization

Please tell us the nominee's organization.
Website



The following formats are accepted: .pdf, .doc, .docx

Nomination Materials

Please attach cover letter. (.pdf, .doc, .docx ONLY)

Depending on your operating system, you may be required to hold down the “Ctrl” button THEN click “Submit” in order for your files to go through.

Once you click submit, you will receive a confirmation email to the address you provided with this submission. Please contact Bonnie Ingram with any questions bonnie@tampainnovation.com


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DEADLINE: Nominations must be received
no later than 5:00 pm on October 3, 2016


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