11 Who Care

This prestigious award is designed to recognize outstanding men and women who have demonstrated an unwavering dedication to better themselves, their family and their Range community.

We are looking for women and men who have gone above and beyond. Those who have excelled to provide uncommon leadership and strive to be a positive example or role model. We want to honor the “best of the best” on the Range. Judging will be based upon the ability of the nominator to articulate, with specific examples and information, the reasons why the nominee should be considered.

11 Winners will be selected in early October and each featured in a vignette to be aired on Range 11 television. All winners will be honored at the annual 11 Who Care luncheon.

1.Full Name

2.Address

3.City

4.State

5.Zip

6.Telephone (home)

7.Telephone (work)

8.Nominee's Employer

9.Nominee's Position

10.Length of Employement

11.Nominee's Background Info (Family)

12.Nominee's Background Info (Education)

13.Awards, Recognitions, Honors

14.Primary organization nominee volunteers for

15.Is nominee compensated for their volunteer work?*

Yes

16.How long has nominee served this organization?

17.Time Commitment (approx. hours per week)

18.Nominee's greatest contribution to organization?

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