Hometown Hero Nomination Form

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Do you know someone who has made a significant difference in your life or community? Tell us why he/she should be featured as a hometown hero on WSAZ. A new award recipient is picked each week. Winners are chosen based on, but not limited to, their voluntary positive impact on a person or community. NOTE: while there are many generous paid professionals who deserve recognition, WSAZ strives to honor volunteers with this award.

You can watch WSAZ's Hometown Hero segment each Friday at 5:30pm and Saturday at 6am and 6pm.

By submitting this form, WSAZ makes no guarantees the person you're nominating will receive the award. All entries must be submitted in writing, whether it's through this form or U.S. Mail. Here's our mailing address if you prefer to submit via mail:

Huntington:	Charleston:
WSAZ Hometown Hero	WSAZ Hometown Hero
P.O. Box 2115	111 Columbia Avenue
Huntington, WV 25721	Charleston, WV 25302

1.Please enter the following information:

Your name*

Your telephone number*

Nominee's name*

City, State where nominee lives*

2.Please explain why you think this person is a hometown hero:*

3.Please enter your date of birth.

Month*		Day*		Year*


	4.Terms and Conditions

	YES, I have read, understand, and agree to the Web site usage agreement and privacy policy.


	* represents required fields Children under the age of 13 may not submit this form.

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