Living the Dream Award Nomination Form

Please return this form to the LTD Awards Committee in care of Rev. John R. Williams, 2435 SE Madison

Street, Topeka, Kansas 66605-1152. The deadline date for the submission of the Nomination Form is

Friday, December 08, 2023. Please review the following award categories and provide the name and phone

number of your nominee below. Please specify the award for which they are being nominated. List three or

four reasons in support of your nomination. You are welcome to list nominees for any, several, or all of the

award categories. Please feel free to duplicate this form and attach extra pages, if necessary.