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Rising Star Nomination Please print two pages and submit

NEBRASKALand Foundation Rising Star Award

Nomination Form 




Submitted By:


Name of Nominee/Attraction:


Location of Attraction:


Brief Description of the Nominee:






Other Information of Interest:





For Committee Use





Approved Nomination _____________                                                                                               Declined Nomination _____________

Date of Decision ______________________________, 2018


Signed by Chairperson or Designee _____________________________________________________________________


Approved / Declined by Roger Lempke, President  __________________________________________________________