Junior Mentor Award
Nominee(s) Name(s)
List Name(s) in box
Nominee(s) Home State and Subordinate Grange
Address
Town/City
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Please tell us why this person should be selected
How has this youth/ young adult impacted the lives of Jr. Grangers? Please list some specific tasks, projects or initiatives that this youth has led to inspire Juniors. Give some example of how they have gone above and beyond to help Junior Grange and/or a Junior Grange Department.
Name of Grange Submitting Nominee
City/Town/State
Chairpersons' Name
First Name
Last Name
Email
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Address
Phone Number
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Area Code
Phone Number
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