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Champion Submission Form

Please complete the submission form to nominate your candidate. Learn more about the requirements and selection process.

The deadline is December 15.

Tell us about your Champion!

Candidate Name*

Title*

Organization*

In Service to Government or Retired (Year)*

Address*

Email*

Phone*

Statement of Nomination (no more than 250 words)*

Submitter's Name*

Submitter's Email*

Submitter's Phone*

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