This government document is issued by Governor's Office on Service and Volunteerism for use in Maryland
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https://www.google.com/url?client=internal-element-cse&cx=007821330218074952993:a_x1_lepqte&q=https://gosv.maryland.gov/wp-content/uploads/sites/29/2017/04/2017-GSA-Sample-Nomination.pdf&sa=U&ved=2ahUKEwin66nnhpyRAxV2U6QEHQ02JEw4ChAWegQIBRAB&usg=AOvVaw0Z2vCW-I0ipCmDaV2EcL4t