Bartlett











Community Coalition

Nomination Ballot

"Person of the Pillar in Bartlett."


Name of Nominee: __________________________

Nominee's Age Group: Child____Teen____Adult_____

Phone # of Nominee: ___________________________

Address of Nominee: __________________________________________

References for additional information, please include name & phone#: ____________________________________________________________________________________
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Because of their outstanding character, I would like to nominate the above named Bartlett resident as a "Person of the Pillar in Bartlett", for the following reason(s)

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Please feel free to write on the back of this form