OHIO ASIAN AWARDS 2016 NOMINATION FORM

Name of Nominee*

Company/Organization*

Name of person submitting the nomination*

Category of Award*

Education*

Professional Experience*

Volunteer Experience & Civic Accomplishments *

Awards *

Criteria why the nominee deserve to be a recipient of the award*

Is the nominee aware of that he or she being nominated? *

Reason for Nomination*

Nominator Contact Info

Name*

Title*

Organization*

Email*

Phone Number Cell*

Phone Number Office*

Nominee Contact Info

Name*

Title*

Organization*

Street Address*

City*

State*

Zip*

Phone Number Office *

Phone Number Cell*

Email*

Nominee Reference

Name*

Title*

Organization*

Email*

Phone Number*

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The nominee must be present at the awards on August 27, 2016 At 5 pm at Hollywood Event Center

Nominee is not a immediate relative or partner of any member of ACCG Boarder or selection committee member

Nomination are due to May 30, 2016

The Ohio Asian Awards is open all regardless race or national origin.

  I understood and agree to the above terms.