Accept a nomination – Eos Community Connections Portal

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Accept a nomination

Complete this form to accept your Rising Phoenix Awards nomination

Part 1: Info about nominee
Nominee first name*
Nominee last name*
Nominee county of residence*
Nominee email address*
Nominee phone number*
Please provide us with a good picture / headshot of you that we can use on the RPA website so people can associate your face with your story. (If you don't have one, skip this and we can follow up with this later)
Max. file size: 50 MB.