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#: ____________________________________________________________________________________ ____________________________________________________________________________________
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)
____________________________________________________________________________________ ____________________________________________________________________________________ ____________________________________________________________________________________ ____________________________________________________________________________________ ____________________________________________________________________________________ ____________________________________________________________________________________ ____________________________________________________________________________________ ____________________________________________________________________________________
Please feel free to write on the back of this form
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