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The Neighborhood Guy Foundation
1. Nomination Information 2. Selection Process
3. Nomination Form
Nominator Information:
First Name
Last Name
Address
City
State
Zip
Home Phone
Work Phone
Cell Phone
E-mail
Relationship to Nominee
NOTE: Nominee may not be related to you.
Nominee Information:
(NOTE: Nominee cannot be related to the nominator in any way, or reside in the same home (i.e.: step parents, adoptive parents, legal guardians, or by blood)
Age of Nominee
Gender of Nominee
Male
Female
First Name
Last Name
Parent(s)/Guardian(s) Name(s)
Address
City
State
Zip
Home Phone
Cell Phone
E-mail
School
Name of Principal
Please describe in
250 words or less
your reason(s) for nominating this young person to receive
The Neighborhood Guy
TM
Foundation
award. Please be very specific.
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