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One Convention Center Plaza
Hattiesburg, MS 39401
USA

601.296.7500

Community Service Award Nomination

Award Requirements        

  • Nominees must be a young professional (ages 21-45) living and/or working in the Pine Belt region
  • Nominees must demonstrate outstanding contributions to the quality of life in his/her community through civic engagement, board or committee work, or involvement with other charitable organizations
  • Nominees shall be perceived by the public as leaders in their community
  • Nominees shall have received no remuneration for professional services rendered, if any

Self nominations are permitted

Nominee Name *
Nominee Name
Nominee Phone
Nominee Phone
Nominated by
Nominated by
Nominator Phone
Nominator Phone