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Leadership Form
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3rd Annual African-American Leadership Recognition Nomination Form

Bluegrass Community and Technical College-Lawrenceburg Campus is excited to announce the 3rd Annual African-American Leadership Breakfast.  It will be held on February 27, 2007 in conjunction with National Black History Month.  Throughout our country’s history, countless African-American citizens have created a positive impact on communities in which they reside.  We are proud to help celebrate the achievements of these individuals.

Goal:  To recognize African-American citizens who have had a positive impact through role modeling or leadership.

Nomination Guidelines:  An African-American citizen who has made a positive impact on an individual, a community, or a group either personally or professionally.  This impact can be current, historical, or both. 

Nomination Deadline: February 23, 2007

Nominee's Name
Address
Phone
Email
Work Address
Supervisor (if applicable)
Brief description of person's role or impact on your life or lives of others:
Submitted by
Address
Phone
Email
Work Address
Work Phone