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2025 Lifetime Achievement Award
Please rate each criterion using the scale below (1 = Does not meet criteria, 5 = Exemplifies this quality).
Has a documented history of service to the community
Select option...
1
2
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5
Unknown
Has made sustained contributions of a significant nature
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1
2
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5
Unknown
Has had success in promoting, advancing or serving the community
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1
2
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5
Unknown
Has been acknowledged / recognized for their community service
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1
2
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5
Unknown
Actively participates in community affairs
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1
2
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5
Unknown
Has been a resident of Jack County for at least 15 years
Select option...
Yes
No
PERSON YOU ARE NOMINATING (first & last name)
REASON FOR NOMINATION (Space is not limited - type as much information as you deem appropriate. To view a larger space, click the lines in the bottom right hand corner and drag down.)
Your First Name
Your Last Name
Please enter an email address where you can be reached if there are any questions regarding this nomination
YOU MUST CLICK 'SUBMIT NOMINATION' OF THE AWARD CATEGORY YOU ARE COMPLETING BEFORE MOVING TO THE NEXT CATEGORY. EACH AWARD CATEGORY MUST BE 'SUBMITTED' SEPARATELY.
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