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Nominee First Name *
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Nominee Last Name *
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Nominee Email *
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Nominee Phone Number *
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What has this individual done to be inspirational or innovative in encouraging others, especially young people, to appreciate Earth’s mineral and fossil treasures and to enjoy geological hobbies? *
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Why is this individual deserving of this award? *
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Is there anything else the panel of judges should know about this individual and their efforts to help them make a decision for this award?