There is no entry fee to participate in this program. Submissions are due back to AIA Ohio by 5 p.m. on June 17, 2011.

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1 CALL FOR ENTRIES AIA OHIO PUBLIC SERVICE AWARD The AIA Ohio Public Service Award will be granted to an individual who has made a significant impact in their community through public service. To nominate an individual for this award, please explain how the individual has impacted his/her community and list their participation in community boards or panels such as the Board of Education or Planning Commission. Send this information via to aiaohio@assnoffices.com, no later than June 17, There is no entry fee to participate in this program. Submissions are due back to AIA Ohio by 5 p.m. on June 17, The Award recipient will be recognized during the AIA Ohio Valley Region Honor Awards Reception, Friday, Sept. 16, at the Schuster Center in Dayton, Ohio. Questions? Call AIA Ohio at , or aiaohio@assnoffices.com. ENTRY FORM Nominee s Name: Firm: Address: City: State: Zip: Phone: Fax: Your name: Firm: Address: City: State: Zip: Phone: Fax: How has the individual impacted his/her community? (attach additional sheets if necessary) List the nominee s participation in community boards or panels:

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