Nominee(s) Name(s)
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Nominee(s) Home State and Subordinate Grange
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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
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Chairpersons' Name
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Last Name
Email
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Address
Phone Number
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