Nominations for Annual Gala

Nominations for Annual Galaregalmgusa2017-11-16T23:31:28-05:00

Name of Nominee *

First

Last

Submitted by *

First

Last

Email *

Category (Select One) *

Citizen of the Year: Recognizes a person who has provided extraordinary service to the Latino community
Community Service: Recognizes a grass-roots individual who consistently provides volunteer services to the Latino community
Lifetime Achievement: Recognizes a person over the age of 60 who has demonstrated exceptional life-long services to the Latino community
Latino Youth: Recognizes a young adult(14-25 years of age) who has achieved scholastically and in his/her personal life, or has demonstrated leadership through volunteer services to the community

How would you like your nominee to be recognized for?

Please write a narrative of 100 words or less as to how your nominee embodies and why they should be recognized for the category above: *

Name three (3) achievements or successes achieved by your nominee: *

Encuesta en Español




	

				

				            
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			SubjectPricing Request
VENUEBanquet Hall 
Conference Room 
Classroom 
Name *First
Last
Phone Number *
Email *
Event Date  *Tentative Event Date
Comment or Message *
PREFERRED CONTACT METHODPhone
E-mail
Comment
  
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