MPI Georgia Chapter - Shining Star Nomination Form

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Shining Star Nomination Form

The MPI Georgia Shining Star Award recognizes members for making extraordinary efforts on behalf of our organization. You can only nominate one individual at a time. Please complete an additional form for each subsequent nomination.

Nominator Information

First Name

Last Name

Organization

Professional Title

Email Address

Nominee Information

Nominee First Name

Nominee Last Name

Nominee Company

Nominee Title

Nominee Committee

Nominee Phone

Nominee Email Address

Reason for Nomination

Please provide a brief description of why you are nominating this MPI GA member for a shining star.

Explanation for Nomination

New code

Please type the code above

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