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1. Name of individual/company/organization and when founded:
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2. Type of firm:
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3. Nominee address, telephone number and email:
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4. Name and title of person completing questionnaire:
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5. How have you and/or nominee/company/organization distinguished itself among other individuals/businesses/organizations
in your field:
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6. How have you and/or nominee/company/organization distinguished itself in serving the
Hispanic community and/ or the
community at large:
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7. How many employees does the nomineecompany/organization have:
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8. HABLA Award category: Corporate Executive, Civic/Government,
Entrepreneur
(formerly Small-Business) or Unsung Hero:
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9. Additional comments/thoughts:
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