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Phone & Fax: 509-542-0933 [email protected] www.tricitieshcc.org UNA NOCHE DE EXITOS A NIGHT OF ACHIEVEMENTS NOMINATION FORM Each year the Tri-Cities Hispanic Chamber of Commerce hosts a Gala and Awards Ceremony. This event serves as an opportunity to recognize and publically thank those who work to make our community a better place to live. For the purpose of these awards, the meaning of Latino(a) is not restricted solely to ethnicity, however, individuals nominated for these awards should reflect an obvious dedication to local Latino families, businesses, and/or communities. To nominate someone for an award place an ‘X’ next to the appropriate category and fill out the information below. ____Outstanding Latino(a) Educator of the Year ____Outstanding Latino(a) Public Servant (e.g. firefighter, police, elected official, etc.) ____Outstanding Latino(a) Veteran of the Year ____Outstanding Latino(a) Health Care Professional of the Year ____Outstanding Business of the Year ____Outstanding Latino(a) Community Leader of the Year ____Latino Lifetime Achievement Recognition 1. Name of Nominee: _______________________________________Phone:____________________________ Address: ___________________________________________________________________________________ E-mail:______________________________________________________________________________________ 2. Reasons the nominee merits the award: _________________________________________________________________________________________ _________________________________________________________________________________________ _________________________________________________________________________________________ 3. Brief history of nominee: _________________________________________________________________________________________ _________________________________________________________________________________________ _________________________________________________________________________________________ _________________________________________________________________________________________ _________________________________________________________________________________________ You may use additional pages to support each nomination and attach them to this form. Name of person submitting nomination__________________________________________ Phone_________________________E-mail: _____________________________________ Please return nomination form to the TCHCC Office by mail at: P.O. Box 3938, Pasco, WA 99302 by fax at: 509- 542-0933 or by e-mail at [email protected]. Nomination Deadline: Friday, April 3, 2015 The Tri-Cities Hispanic Chamber of Commerce (TCHCC) is organized for the purpose of advancing the economic, industrial, professional, cultural, agricultural, educational and civic welfare of the Tri-Cities and surrounding communities. The TCHCC will accomplish this mission by focusing on work force development through its support of education and training. Tri-Cities Hispanic Chamber of Commerce (TCHCC) Mailing Address: P.O. Box 3938, PASCO, WA 99302 Physical Address: 1600 N. 20 th Ave. Suite D Pasco, WA 99301
