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2. The HEART of public service is how we show up for our community every day. The HEART of Service Award celebrates those employees who embody Goochland County’s Core Values.

   HEART: Honor, Empathy, Accountability, Respect, Transparency  

4. Nominee Name*
5. Job Title
7. Briefly describe the reason for your nomination.*
9. Select which core value the nominee embodies:*

   Select all that apply. 

   1. Honor
   2. Empathy
   3. Accountability
   4. Respect
   5. Transparency
11. Your Name*
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13. 1. Receive an email copy of this form.
14. Email address

    This field is not part of the form submission.

15. Submit

* indicates a required field