Cal-ICMA Ethical Hero Award Nomination Form

1
Nominee Information* This field is required.
First Name
Last Name
Title
Organization
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2
Address* This field is required.
Street Address
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State/Province
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3
Please explain* This field is required.Please explain below how the individual being nominated has provided extraordinary service to the profession while exemplifying and modeling the ICMA Code of Ethics through decisions and action which show dignity, honor and integrity. (Click "NEXT" to attach additional pages and/or supporting documentation, news articles, etc. )
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4
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5
Nominator Information* This field is required.Please provide your contact information below in case the Cal-ICMA Ethics Committee has follow-up questions and needs to contact you.
First Name
Last Name
Title
Organization
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6
Please verify that you are human* This field is required.
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