Rising Star Nomination Please print two pages and submit
NEBRASKALand Foundation Rising Star Award
Nomination Form
Date:
Submitted By:
Name of Nominee/Attraction:
Location of Attraction:
Brief Description of the Nominee:
Other Information of Interest:
For Committee Use
Comments:
Approved Nomination _____________ Declined Nomination _____________
Date of Decision ______________________________, 2018
Signed by Chairperson or Designee _____________________________________________________________________
Approved / Declined by Roger Lempke, President __________________________________________________________
