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Contact Us
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Copper Star Award Nomination Form
Step
1
of
2
50%
Eligibility Requirements
Is a Washington County resident
Has worked in the region for 5+ years
Leads by example and shows excellent integrity
Is not an immediate family member of a current/former PlanNorth employee
Is not an executive leader, community award recipient, or business owner (except solopreneurs)
Nominee Information
Name
Phone
Current Employer
Occupation
Involved Organizations
Nominator Information
Name
(Required)
Phone
(Required)
Would you like to remain anonymous?
I prefer to remain anonymous.
Nomination Questions
Example of how the nominee leads by example
Example of how the nominee shows integrity
Example of how the nominee shows work ethic
Example of how the nominee lends a helping hand
1 work-related and 1 character reference for the nominee
A verse or quote that embodies the nominee
Why are you nominating this person?
Solve this in order to submit form : 5-2
CAPTCHA
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