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Nominees First Name
Nominees Last Name
Date of Birth
Place of Birth
Current City/ State of Residence
Connection to Memphis(If not found enter the text in Other)
Born in Memphis
Long-term resident
Former resident with continued impact
Other
Nominee’s Field(s) of Achievement
Arts & Culture
Civil Rights & Social Justice
Business & Entrepreneurship
Science & Technology
Education
Innovation
Philanthropy
Government or Global Leadership
Community Uplift
Please enter the Nominee’s Field(s) of Achievement if not found above
Summary of Achievements (500 words or less)
Impact on Memphis (300 words or less)
Supporting Materials (optional but encouraged) Letters of support (max 3) News articles, bios, or portfolio links Awards, honors, or recognitions
Reference URLS
Any additional information for consideration
Choose Files (Upload any supplemental information for the Mayors Office's review here)
Full Name
Phone Number
Email Address
Affiliation or Relationship to Nominee
Organization (if applicable)
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