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Attention!! All Visitors....
NCEHS invites nominations to the Millenium Edition of People of Distinction. Nominees should be active and civic minded in his/her community, business, church and/or school and be a good role model.
To nominate, submit the form below regarding the nominee. Please fill out the form in its entirety so that your nominee can receive the best possible opportunity. All nominations, including self-nominations will be accepted and reviewed for inclusion. Please include the name of the nominator. If your prefer to fax, please fill out the form entirely, print and fax to the attention of Angela Floyd at 210-698-8701.
Nomination Form For People of Distinction
Nominee First Name:
Nominee Last Name:
Address:
City:,
(E-Mail):
(H) Phone:
(F) Phone:
(W) Phone:
Current Profession:
Title:
Highest Degree/Education: Diploma Bachelors Masters Ph.D
Other:
Male Female Length of Time In Profession
**Important Required Information** **This portion of the form must be completed in order for an evaluation and selection to be made. Forms submitted without this information will not be considered** Why this individual should be considered a Person of Distinction based upon community activities, special honors and related.
Nominator:
Self Nomination: Yes
List two persons who can vouch for this person's nomination with an email address, fax, or telephone number.
1. Email / Phone / Fax#
2. Email / Phone / Fax#
Does the nominee accept this nomination? Yes No
Data submitted by:
© 2001 Dr. Gloria "Jo" Floyd, NCEHS, 14439 N.W Military Highway, #108, PMB615, San Antonio, TX 78231, [O] 210-698-8700, [F] 210-698-8701, email: info@ncehs.com; www.ncehs.com; or www.DrGloriaJoFloyd.com All Rights Reserved
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N.C.E.H.S. 14439 N.W Military Highway, Suite #108, PMB 615 San Antonio, TX 78231 Office: 210-698-8700 Fax: 210-698-8701
Also, please feel free to e-mail us for more information, or if you have any questions or comments, at info@ncehs.com