District Name (required)
Name of Person Submitting Nomination (required)
Title of Person Submitting Nomination (required)
Mailing Address of Person Submitting Nomination (required)
Telephone Number of Person Submitting Nomination (required)
Email Address of Person Submitting Nomination (required)
Please provide a brief general description of the project/program being submitted. (required)
Describe the local problem or circumstances that led to the undertaking of this program. Was there a special purpose? (required)
What makes your project/program unique and/or innovative? (required)
Identify the value added (increased safety, costs savings, service improvements, etc.) as a result of the undertaking of this project/program. Who does it impact? (required)
What are the positive results of implementing your project/program? Are there other noteworthy features about your project/program that should be considered? (required)
How can this project/program can be adapted for use by other organizations? Who else may benefit by its adoption? Would significant modifications be required for implementation? (required)
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