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Builder Nomination

Please include the following information:

  • How many years has nominee been involved in Burlington Sport?

  • Name of organization(s) nominee has served? Size of the organization(s)

  • Approximate number of hours served each year, Number of individuals directly benefiting from service.

  • Contributions (include activities, positions held, etc.) Include any other pertinent information that will assist the selection committee.

Nominee Information
Gender (required)

Thanks for submitting your nomination! We'll get back to you soon.

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