2025 SOTY Nomination Form | Our 3 Memorial Found

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Educating, Equipping, and Empowering Mississippians into a World Free from Domestic Violence

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2025 Survivor of the Year Nomination Form

Nominees must be 18 or older .

Nominee's First and Last Name

Nominee's email address

Nominee's Phone Number

Your First and Last Name

Your Email Address

How do you know the Nominee?

Is the nominee a current or former Our 3 client?

Please provide a summary of the nominee's story and why you believe they should receive this recognition

Please keep me updated on future programs, intiatives, and events.

I acknowlege that the deadline for nominations is September 10th, 2025. I futher acknowledge that all 2024 Survivor of the Year nominations will be reviewed by all members of the application review commitee. I also acknowledge that a submission does not guarantee selection for the award.

©2025 by Our 3 Memorial Foundation, Inc.

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