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CITIZEN OF THE YEAR NOMINATION FORM <br />Name of Nominee: <br />Title, if applicable: <br />Address: <br />City, Zip Code: <br />Phone: Alternate Phone: <br />Email: <br />Nominated By: <br />Organization (if any): <br />City, Zip Code: <br />Phone: Alternate Phone: <br />Email: <br /> (Attach additional pages as necessary). <br />1.) How long have you known the nominee and in what capacity?