Greater Phoenixville Area
InterService Club Council
Ambassador of the Year Nomination
Please print and complete this form and mail to:
Irene Langan; 3001 Doris Court, Phoenixville, PA  19460

Full Name of Nominee:
Address of Nominee:
 
Community activities involved in and length of service:
 
 
 
 
 
 
 
 
Give a brief statement (150 words or less) why this nominee should receive the Ambassador Award:
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Organization/Person recommending this nominee:
Date Submitted (Deadline is September 10, 2008):
 
AMBASSADOR AWARD RECIPIENT QUALIFICATIONS:
This award is given to a person who has brought honor to the Phoenixville Area Community through his or her unselfishness while working in the field of Community Organizations, Sports, Politics, Education, Business, Medicine and Research and Cultural Endeavors.

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