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Citizen Leadership Award Nomination Form
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Citizen Leadership Award Nomination Form
The Loudoun County Sheriff's Office is seeking nominations from the public for the 3rd Annual Citizen Leadership Award.
Your Name (Nominator)
*
Email of Nominator
*
Name of Nominee
*
Phone of Nominee
*
Email of Nominee
Address of Nominee
Address2
City
State
Zip
Criteria
Candidate participates in activities that make a difference in the well-being of others
Candidate has exceptional ethical qualities and strives to improve and preserve the community
Candidate has shown support for the community over a period of time
Narrative: In 250 words or less, please describe how the nominee meets the criteria:
*
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