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Nomination Form for Community Champion Name of Nominee: Agency Name: Address: City/State/Zip: Phone/Fax/Email: Length of Service in Current Position: In Field: Criteria (please respond to each section):
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Community champion - pnmc-hsr is a designation given to individuals or organizations that actively work towards improving their community in the field of health, safety, and research.
Any individual or organization that meets the criteria for community champion - pnmc-hsr and wishes to be recognized for their efforts in health, safety, and research.
To fill out community champion - pnmc-hsr, one must provide relevant information about their community initiatives in the areas of health, safety, and research. This may include details about projects, partnerships, outcomes, and impact.
The purpose of community champion - pnmc-hsr is to acknowledge and celebrate individuals or organizations that are making significant contributions to their communities in the fields of health, safety, and research.
Information that must be reported on community champion - pnmc-hsr includes details about community projects, initiatives, partnerships, outcomes, and impact in the areas of health, safety, and research.
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