Grassroots Advocacy Award Nomination Form

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Personal information of nominee

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Judging Criteria

Please answer the following questions which are based on established judging criteria for nomination of an individual for the Grassroots Advocacy Award. Limit response to each question to 250 words. If possible use examples that are different or expand upon the information provided in the nominee’s CV.

(It is realized that the nominee may not have advocated in all five of the following areas.)

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