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Award Nomination Form
	Your Name:
	Name of Nominee:
	Company
Please only select one.
	Advancing the Industry Award – Asia-Pacific
	Corporate Social Responsibility Award – Asia-Pacific

	Advancing the Industry Award – Europe
	Corporate Social Responsibility Award – Europe

	Advancing the Industry Award – Africa

	Advancing the Industry Award – Latin America
	Corporate Social Responsibility Award – Latin America

	Advancing the Industry Award – Canada
	Corporate Social Responsibility Award – Canada

Information About Nominee:
	Name
	Title
	Company
	Address
	Telephone
	Email
Nominator information:
	Name
	Company
	Telephone
	Email
Please answer the following questions:
1.	What did the candidate accomplish to be recognized for the award?
2.	What makes the accomplishment unique?
3.	Why do you think the candidate deserves the award?
*If you have any questions, or problems with this form, please email [email protected]* Thank You The ACTE Award Committee Submit here or fax to 703-683-2720 Note: If you would like to keep a copy of this form, please print using your browser's print feature before submitting.)

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