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Elder of The Year Nomination
First Name
Last Name
Email
Phone
Elder nominee resides in Unalaska.
Yes
No
Elder nominee is 55+ yrs old.
Yes
No
Who would you like to nominate?
Why are you nominating them?
What is your nominee's phone number?
Anything else you would like to add? Feel free to email additional documents that supports the endorsement of your nominated elder to admin@qawalangin.com
Submit Form
Thanks for submitting!
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