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Please answer the following questions about your nominee on the form below.

For Esther Nominees

1. What is the greatest impact the nominee has made to the church or community?

2. What are the gifts God has given this nominee to impact people of God? How has the nominee used them to help others?

3. What leadership abilities has this person exhibited while working in the church or community to help others?

4. What have you seen this nominee do that is outstanding and consistently doing in your church or in the community?

For Men of Mordecai Nominees

1. What has this man done to support you or another women ministry efforts or the community?

2. How has he encouraged you as you have done your ministry or community work?

3. Share how the support from this man has influenced your spiritual growth and ministry preparation?

Please Select the Award*

Please answer one of the questions listed above about the Nominee in paragraph form.*

Title, First and Last Name of Nominee*

Nominee Phone Number*

Email Address of Nominee*

Nominee Street Address

Nominee City, State and Zip

Years of Service by the Nominee*

Nominee's Church or Organization Name*

Nominee's Church Pastor or Organization Leader's Name

Nominee's Church Email Address

Nominee's Church City, State and Zip

Submitter's Name*

Submitter's Telephone Number*

Submitters Email Address*

Thanks for submitting! Please notify your nominee you have submitted their name.

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