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Nomination Form

Your first name (required):

Your last name (required):

Daytime phone (required):

Address:

City:

State:

Zip Code:

Email address (required):


How do you know the donor(s)?:

If selected, can you introduce A New Heritage of Giving staff member to the donor for a follow-up interview?

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Donor's name:

In 150 words or less, kindly describe the donor and what has made his/her contributions to Asian Americans and the larger public so important. Stories of generosity, innovation, perseverance or leadership are particularly compelling. Include any nonprofits or causes that you feel best represent the charitable intentions or goals of the donor.

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