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Eugene, OR 97401
Phone: 541-344-5366

Nomination Form


These awards will be given in the following three categories for displaying courage, immagination, and commitment in seeking to build
a culture of peace for Lane County:

Youth (high school)
Adult
Organization

 

If you know someone who you feel deserves to be honored by the Lane County community they serve, then nominate them for the PeaceBuilder Award. Submit the nomination form online (below) or download the form to email or snail mail it to CMS.

This year's PeaceBuilder Award will be presented at the third annual Peace by Piece dessert and wine tasting event by Community Mediation Services on October 19 at 6:30pm. We hope to see you there! [More Information]

Nominations due September 10, 2011

___________________________

Download the form [doc]

Your Name (Required)
Your Address
Your Phone # (R)
Your Email (R)
Nominee's Name (R)
Category (choose one)
Youth (high school)
Adult
Organization
   (R)
Nominee's Address (if known)
Nominee's Phone # (R)
Nominee's Email (R)
Tell us why you're nominating this adult/youth/organization (R)

Note: Please do not include any URLs in form.


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