2. Your First Name
3. Your Last Name
5. Your Email Address
6. Your Phone Number
10. First Name of Nominee
11. Last Name of Nominee
13. Nominee Email Address
14. Nominee Phone Number
16. How long has nominee lived in West St. Paul?
18. Share a brief overview of nominee story
20. Why should nominee voice be heard?
22. Upload a picture of nominee
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24. 1. Receive an email copy of this form.
25. Email address

    This field is not part of the form submission.

26. Submit

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