California Jaycees - Leadership Through Community Service

Board Members

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"Jaycees Doing Whatever It Takes" Nomination Form

Fill out all the relevant fields and submit your nominee.
Required fields are marked with a *:

Tell Us About Your Nominee
First Name:*
Last Name:*
Address:

City:
State:
Zip Code:
Phone:
Email:*
Chapter: *
Position:
Year as Jaycee:
Nominator Information
Your Name:*
Chapter: *
Position:
Address:

City:
State:
Zip Code:
Phone:
Email:*
Tell us briefly why your nominee should be a California Jaycee of the Week recipient: (200 words or less)
A photo must be submitted to info@cajaycees.org before the nominee will be honored.