FORM: ACHIEVEMENT OF EXCELLENCE IN PHILANTHROPY AND COMMUNITY INVOLVEMENT AWARD

Achievement of Excellence in Philanthropy and Community Involvement Award

Your Name (required)

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Address (required)

City (required)

State/Province (required)

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Country

YOUR NOMINEE'S INFORMATION

Full Name (required)

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Email (required)

Address (required)

City (required)

State/Province (required)

Postal/Zip (required)

Country

Occupation or Profession (required)

NOMINEE'S ACCOMPLISHMENT

1. Describe the exemplary contribution of the nominee to the community. *

2. Explain how the nominee`s attributes and contributions distinguish him or her as a leader in the community. *

3. Describe how the nominee`s contribution has impacted the lives of others, improved the social fabric of our society, or advanced the ideals of Hellenism. *

SUPPORTING DOCUMENTS

Please attach documents, if possible, supporting the accomplishments of the nominee, such as a professional biography of the nominee, news article(s) or publications noting the nominee`s professional or community achievements, list of awards, citations or recognitions.

Supporting document 1

Supporting document 2

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