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Regional dinner nomination
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Your region
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Blacksburg
James River (Williamsburg, Hampton, Newport News, etc)
Northern Virginia
Richmond
Roanoke
South Hampton Roads (Virginia Beach, Norfolk, etc)
Your information
First Name
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Last Name
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Email
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Volunteer nominee
Name Prefix
- None -
Apostle
Bishop
Brother
Canon
Cantor
Chaplain
Chief
Delegate
Deacon
Dean
Dr.
Elder
Father
Governor
The Honorable
Imam
Lt. Governor
Mayor
Minister
Monsignor
Mother
Mr.
Miss
Mrs.
Ms.
Mx.
Mr. & Mrs.
Pastor
Rabbi
Representative
Reverend
Rev. Dr.
Rev. Canon
Rev. Msgr.
Rt. Rev.
Senator
Sister
Swami
Vicar
President
First Name
Last Name
Phone Number
Email
Why are you nominating this person?
Please explain why you believe this individual or volunteer should be recognized at a regional dinner for service excellence. In what ways has the nominee’s volunteer work positively impacted the broader advocacy work of VICPP for racial, social, and economic justice? Please include specific examples.
Congregational/ Organizational nominee
Existing Contact
Organization Name
Street Address
City
Postal Code
State/Province
Phone Number
Email
Why are you nominating this organization?
Please explain why you believe this congregation (or organization) should be recognized at a regional dinner for service excellence. In what ways has this congregation's work positively impacted the broader advocacy work of VICPP for racial, social, and economic justice? Please include specific examples.
