2024 NDGA Community Service Nomination Application

Community Service Award

Nominations must be submitted to NDGA by Friday, June 28th, 2024. For more information please contact John at 701.680.1885 or [email protected]

"*" indicates required fields

Individual Nominated:*

NDGA Member Store/ Company:*

Store/ Company Phone #:*

Address*

Street Address City State ZIP Code

Submitted By:*

Title/ Position:*

Cell Phone #:*

Email:*

Describe ONE thing about this nominee that sets him/her apart from others & explain why the nominee deserves the award.*

Please list up to 4 ways the nominee's efforts have affected their community/ individuals.*

Each item should be fewer than 100 words.

Please list up to 4 highlights of the nominee's involvement in the grocery industry.*

Each item should be fewer than 100 words.

Name

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