Info of Person Making Submission

First Name

Last Name

Email Address

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Organization (If Applicable)

Address Line 1

Address Line 2

City

State—Please choose an option—

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Postal Code

Phone Number

Occupation

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Nominee Information

First Name

Last Name

Email Address

Phone Number

Letter of Recommendation

Letter of Recommendation

Letter of Recommendation

Nominee Qualifications

Has the nominee been a member of Miss Rodeo America for at least 10 years?

How did the nominee make a lasting impact on Miss Rodeo America, Inc.?

Accomplishments & Activities within the Miss Rodeo America organization that you feel qualify them.Include dates or years of service

Occupation and Employer of Nominee

Memberships in other community, fraternal, civic, or business organizations

Other Awards and Honors and dates if known