2023 Rising Star Information

Your Name As You Would Like It Printed in the Magazine:*
Employer:*
Position:*
Preferred Mailing Address for Magazine Subscription:*
Street Address City State ZIP Code
Preferred Phone Number:*
Preferred Email:*
After reviewing your nomination packet and recommendation letters are there any items that you would like to clarify or revise? If so, please list below.
Please list organizations you have volunteered with for the past 3 to 5 years and in what capacity you have served, if they are not already mentioned in your nomination packet.
Please tell us about current charitable event committees or board of directors in which you have served, if they are not already mentioned in your nomination packet.
Please list your recent awards or honors:
Are there any other non-profit organizations that you work with that you want us to know about?
Guest Information
Please know that anyone who wrote a nomination for you will be invited to the party on Thursday, February 16th at 5 p.m. We’ll send formal invitations in the mail asap. Please include the names, mailing addresses, and email addresses of the guests you would like to invite below. Please include one guest's name per slot below for a total of 10 guests. (You do not need to include information for those that nominated you - we have already added them to the invitation list.)
Guest 1
First Last
Address
Street Address City State / Province / Region ZIP / Postal Code
Email
Guest 2
First Last
Address
Street Address City State / Province / Region ZIP / Postal Code
Email
Guest 3
First Last
Address
Street Address City State / Province / Region ZIP / Postal Code
Email
Guest 4
First Last
Address
Street Address City State / Province / Region ZIP / Postal Code
Email
Guest 5
First Last
Address
Street Address City State / Province / Region ZIP / Postal Code
Email
Guest 6
First Last
Address
Street Address City State / Province / Region ZIP / Postal Code
Email
Guest 7
First Last
Address
Street Address City State / Province / Region ZIP / Postal Code
Email
Guest 8
First Last
Address
Street Address City State / Province / Region ZIP / Postal Code
Email
Guest 9
First Last
Address
Street Address City State / Province / Region ZIP / Postal Code
Email
Guest 10
First Last
Address
Street Address City State / Province / Region ZIP / Postal Code
Email

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2023 Rising Star Information

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