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UA Community Impact Awards Submission Form

Submission Form


Full Name

Please let us know your name.

Please let us know what organization you work for.

Please let us know your email address.


Award Category

Please select a category.
Full Name

Please tell us the nominee's name.

Please tell us the nominee's organization.

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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