Black History Month "Local Heroes Awards" 2010 Candidate Nomination Form

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Union Bank and KCET are looking for outstanding Latino men and women who have made significant contributions to improve our community. Nominate someone who has impacted your community by filling out the form below.


CANDIDATE NOMINATION FORM
Please Complete by Monday, November 30, 2009



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  1. Significant Contributions: (Highlight his/her major contributions to his/her profession).
  2. Community Involvement/Volunteer Work: (Discuss any community involvement/volunteer work in which the nominee participates including the number of years of involvement).
  3. Awards/Recognition Received: (List any awards the nominee has received. Of particular interest are awards received at the national level, if any).



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