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Nominee Form

ANS Association is proud to nominate individuals who excel in their career. We strive to provide motivation to those that also go threw tragic situations,

Categories For Nomination:


All Professionals


Domestic Violence Activist

Your Last Name*

Your Name*

Your Email Address*

Nominee Last name*

Nominee's Name*

Nominee's Profession*

Nominee's email*

Nominee's telephone number*

Provide the accomplishments of this individual and why you would like to honor them*

Contact Information

Thank you for acknowledging someone's hard work and achievements. ANS Association believes in achievements, goal driven individuals who goes an extra mile to help the community. Please complete the form and submit as well as emailing the individuals bio for review.


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