Hispanic Chamber of Commerce

Your Name:*

Your Company

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Which category would you like to nominate a Latina for?*

Nominee's Name:*

Nominee's Title:

Nominee's Company:

If retired or student, please type retired/student.

Nominee's Phone Number:

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Please describe the nominee’s professional achievements, contributions to the community and/or service as they relate to the above categories.*

Minimum 100 words and maximum 1,500 words

Please describe the impact the nominee has achieved locally, regionally, nationally, and/or internationally.*

Minimum 100 words and maximum 1,000 words

Is there anything else you would like the committee to consider regarding the nominee? (optional)

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Nuestra Latina