PITTSBURGH’S 50 FINEST

Application / Nomination Form

I would like to apply/nominate the following to be honored as one of “Pittsburgh’s 50 Finest”:

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Name
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Address
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Home Phone Work Phone Cell Phone
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E-mail address Fax Number
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Age as of August 1, 2011
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Job Title
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Company

Education (Please list degrees received followed by major areas of study, and names of schools.):

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Interests / Hobbies / Things the Applicant Enjoys:

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Community Involvement (Include organizations the applicant supports, clubs to which the applicant belongs,
committees on which the applicant serves, and volunteer work the applicant does. Be as specific as possible,
describing what the nominee did or does - don’t just write the name of the organization. “Supports” is OK; more
details about the nominee’s support or involvement is even better.):

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Other Interesting Information about Applicant:

(This information is helpful in writing something more colorful for the magazine and for creating an introduction
for the night of the event. So any interesting information such as unique hobbies, skills, experiences or awards
is helpful.)

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If Nominated by Someone Other than Self:

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Name of Person Nominating

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Home Phone Work Phone Cell Phone
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E-Mail Address

Jessica Hannan
Director of Special Events
PLEASE MAIL OR EMAIL TO: CYSTIC FIBROSIS FOUNDATION
810 River Avenue, Suite 100
Pittsburgh, PA 15212
Phone: (412) 321-4422
Fax: (412) 321-9305
E-mail: jhannan@cff.org

The information on this application will be used for publicity purposes, so please be sure to include information you would
like to have mentioned. For categories for which you are listing more than one item, please list in order of importance, with
the most important information listed first.

Each honoree is asked to raise a minimum of $2,500 for the Cystic Fibrosis Foundation by the night of the party in August.
All honorees are encouraged to exceed the minimum and vie for the grand prizes awarded to the top money raisers. All
proceeds benefit the Cystic Fibrosis Foundation.