Nominee Information
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Contact information for nominee or, if deceased, suggested representative of nominee
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Basis for nomination, with consideration of criteria:
In 500 words or less, please summarize the outstanding contributions and achievements of the nominee; their connection to Minnesota; their capacity to serve as an inspiration to youth. (Add space as needed if submitting electronically. Attach page(s) if submitting hard copy nomination.)
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Please provide a minimum of three people familiar with the nominee and his/her achievements (for example, professional colleagues or leaders in the nominee's field) who are supportive of this nomination. For each, include name, relationship to nominee (if any), organizational affiliation (if applicable), their phone and/or email.
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Nomination Submitted By:
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