Deadline date for nominations is April 1 of each calendar year.

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Special Service Award Nomination Form
Nominee Name:
Address:
City:
State:
Zipcode:
Phone Number:
Living/Deceased:	Living Deceased
Sport(s) Area of Nominee's Major Involvement:
Nominee's Major Contribution to Greater Flint Area Athletics:
Available for Awards Ceremony:	Yes No
Flint Area person to contact:
Flint Contact Phone:
Submitted by:
Submitter's Phone Number:
Submitter's Email:
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