Stars of Lake County Nomination Form for 2022 Nominator Name Title First Name * Last Name * Suffix Nominator Address Address Line 1 * Address Line 2 City * State * Select option... Alabama Alaska Arizona Arkansas California Colorado Connecticut DC Delaware Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming DC Zip/Postal Code * Nominator Phone Number * Nominee Name First Name * Last Name * Nominee Address Address Line 1 * Address Line 2 City * State * Select option... Alabama Alaska Arizona Arkansas California Colorado Connecticut DC Delaware Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming DC Zip/Postal Code * Nominee Phone Number * Nomination Category * Humanitarian of the Year Senior of the Year Volunteer of the year Student of the Year Female Student of the year Male Youth Advocate of the year -Volunteer Youth Advocate of the Year -Professional Agriculture Award Organization of the Year- Non Profit Environmental Award New Business of the Year Small Business of the Year Large Business of the Year Best Idea of the Year Local Hero of the year Amateur Award The Arts Award of the Year -Professional Public Safety Award Woman of the year Man of the Year Lifetime Achievement Please Select One Category above* Give a Short Paragraph on why you are nominating this Person* *
