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Philadelpia Maneto Awards Nomination Form
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Nominee Information
Full Name
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Your answer
Full Name of Parent or Guardian Information (if nominee is under 18 years old)
Your answer
Date of Birth
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Contact Email
*
Please provide parent of guardian contact info if recipient is under 18 years old.
Your answer
Phone Number
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Please provide parent of guardian contact info if recipient is under 18 years old.
Your answer
Nominator Information
Full Name
*
Your answer
Your Relationship to the Nominee
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Your answer
Contact Email
*
Your answer
Phone Number
*
Your answer
Nomination Information
Category of Nomination
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Please select one category that best fits the nominee's contributions.
Justice
Peace
Hope
Prosperity
Describe why you are nominating this individual for the Philadelphia Maneto Award.
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Please provide specific examples of the nominee's actions that embody the spirit of "Let Brotherly Love Continue" through the selected category.
Your answer
What impact has the nominee’s work had on the community?
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Consider their influence on social, economic, or cultural aspects within Philadelphia.
Your answer
Provide any additional information or testimonials that support this nomination.
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Links to news articles, awards, recognitions, or personal stories are welcome.
Your answer
Declaration
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I certify that the information provided is true and accurate to the best of my knowledge and that the nominee is aware of and consents to this nomination.
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