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Your Name:

Your Organization:

NOMINATION FOR
OUTSTANDING ANTI-TRAFFICKING WORK
1. Who are you nominating for this award?
2. What organization does the nominee work/volunteer for?
3. Which Parish does the nominee represent? (circle one)
Caddo
Bossier
Other:
4. Please describe the reasons for your nomination, including the nominees
accomplishments in anti-trafficking work:

Please submit this form to Shobana Powell at spowell@caddo.org.

FREE Coalition | A Program of YWCA of Northwest Louisiana | 850-B Olive St., Shreveport, LA
71104 | (318) 550-4417

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