document.writeln('		<!DOCTYPE html PUBLIC "-//W3C//DTD XHTML 1.0 Transitional//EN" "http://www.w3.org/TR/xhtml1/DTD/xhtml1-transitional.dtd">');
document.writeln('<style type="text/css">');
document.writeln('			<!--');
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document.writeln('				margin: 2px 8px 2px 8px;');
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document.writeln('		</style>');
document.writeln('		<form method="post" name="form1" enctype="multipart/form-data" action="http://www.sitemason.com/form/jrt0Wc">');
document.writeln('<input type="hidden" name="referer" value="http://www.belmont.edu/reslife/NRHH/otm_general.html">');
document.writeln('<input type="hidden" name="form__current_page" value="1">		<table id="sitemason_jrt0Wc" class="sitemason_form" border="0" cellspacing="0" cellpadding="0">			<tr>');
document.writeln('					<td class="sitemason_body">');
document.writeln('		');
document.writeln('		<div>');
document.writeln('  <div class="sitemason_body" style="float:left; ">');
document.writeln('    <div style="text-align:left; width:150px; float:left;">');
document.writeln('      <label class="label" for="category">OTM Category</label>');
document.writeln('    </div>');
document.writeln('    <div class="value" align="left" style="float:left; ">');
document.writeln('      <select name="category">');
document.writeln('        <option value=""></option>');
document.writeln('        <option value="RD">RD</option>');
document.writeln('        <option value="Spotlight">Spotlight</option>');
document.writeln('        <option value="RA">RA</option>');
document.writeln('        <option value="Student">Student</option>');
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document.writeln('    </div>');
document.writeln('    <input type="hidden" name="fieldname">');
document.writeln('  </div>');
document.writeln('  <br clear="all">');
document.writeln('  <div align="center" style="clear: both;" class="sitemason_body">');
document.writeln('				&nbsp;<br>');
document.writeln('  </div>');
document.writeln('  <h2 class="sitemason_header" style="border-style:none; padding-top:1px; padding-bottom:1px; padding-right:5px; padding-left:5px; margin-top:6px; margin-bottom:6px; margin-right:8px; margin-left:8px; ">');
document.writeln('    <a name="Nominee_Information"></a><strong><span style="font-size: medium">Nominee Information</span></strong></h2>');
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document.writeln('      <label class="label" for="nominee">Nominee</label>');
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document.writeln('    <div style="text-align:left; width:150px; float:left;">');
document.writeln('      <label class="label" for="addres">Address</label>');
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document.writeln('      <input type="text" style="width:200px; " name="addres">');
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document.writeln('  <div class="sitemason_body" style="float:left; ">');
document.writeln('    <div style="text-align:left; width:150px; float:left;">');
document.writeln('      <label class="label" for="nominee_phone">Phone #</label>');
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document.writeln('      <input type="text" style="width:200px; " name="nominee_phone">');
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document.writeln('  <div class="sitemason_body" style="float:left; ">');
document.writeln('    <div style="text-align:left; width:150px; float:left;">');
document.writeln('      <label class="label" for="nominee_email">E-mail Address</label>');
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document.writeln('    <div align="left" class="value" style="float:left; ">');
document.writeln('      <input type="text" style="width:200px; " name="nominee_email">');
document.writeln('    </div>');
document.writeln('  </div>');
document.writeln('  <br clear="all">');
document.writeln('  <div align="center" style="clear: both;" class="sitemason_body">');
document.writeln('				&nbsp;<br>');
document.writeln('  </div>');
document.writeln('  <h2 class="sitemason_header" style="border-style:none; padding-top:1px; padding-bottom:1px; padding-right:5px; padding-left:5px; margin-top:6px; margin-bottom:6px; margin-right:8px; margin-left:8px; ">');
document.writeln('    <a name="Nominator_Information"></a><strong><font size="3">Nominator Information</font></strong></h2>');
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document.writeln('    <div style="text-align:left; width:150px; float:left;">');
document.writeln('      <label class="label" for="nominator_name">Name</label>');
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document.writeln('    <div align="left" class="value" style="float:left; ">');
document.writeln('      <input type="text" style="width:200px; " name="nominator_name">');
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document.writeln('  <br clear="all">');
document.writeln('  <div class="sitemason_body" style="float:left; ">');
document.writeln('    <div style="text-align:left; width:150px; float:left;">');
document.writeln('      <label class="label" for="nominator_address">Address</label>');
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document.writeln('    <div align="left" class="value" style="float:left; ">');
document.writeln('      <input type="text" style="width:200px; " name="nominator_address">');
document.writeln('    </div>');
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document.writeln('  <br clear="all">');
document.writeln('  <div class="sitemason_body" style="float:left; ">');
document.writeln('    <div style="text-align:left; width:150px; float:left;">');
document.writeln('      <label class="label" for="nominator_phone">Phone #</label>');
document.writeln('    </div>');
document.writeln('    <div align="left" class="value" style="float:left; ">');
document.writeln('      <input type="text" style="width:200px; " name="nominator_phone">');
document.writeln('    </div>');
document.writeln('  </div>');
document.writeln('  <br clear="all">');
document.writeln('  <div class="sitemason_body" style="float:left; ">');
document.writeln('    <div style="text-align:left; width:150px; float:left;">');
document.writeln('      <label class="label" for="nominator_email">E-mail Address</label>');
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document.writeln('    <div align="left" class="value" style="float:left; ">');
document.writeln('      <input type="text" style="width:200px; " name="nominator_email">');
document.writeln('    </div>');
document.writeln('  </div>');
document.writeln('  <br clear="all">');
document.writeln('  <div align="center" style="clear: both;" class="sitemason_body">');
document.writeln('				&nbsp;<br>');
document.writeln('  </div>');
document.writeln('  <h2 class="sitemason_header" style="border-style:none; padding-top:1px; padding-bottom:1px; padding-right:5px; padding-left:5px; margin-top:6px; margin-bottom:6px; margin-right:8px; margin-left:8px; ">');
document.writeln('    <a name="Nomination"></a><p><strong><font size="3">Nomination</font></strong></p></h2>');
document.writeln('  <div class="sitemason_body" style="float:left; ">');
document.writeln('    <div style="text-align:left; ">');
document.writeln('      <label class="label" for="nomination">Pleas explain the <b>outstanding</b> contributions of the nominee <b>during the month of the nomination</b> (i.e., how the nominee addressed recognition, motivation, and support for you or your organization). The nomination <b>must not exceed 600 words</b>.</label>');
document.writeln('    </div>');
document.writeln('    <div align="left" class="value" style="">');
document.writeln('      <textarea rows="15" style="width:400px; " name="nomination"></textarea>');
document.writeln('    </div>');
document.writeln('  </div>');
document.writeln('  <br clear="all">');
document.writeln('  <div align="center" style="clear: both;" class="sitemason_body">');
document.writeln('				&nbsp;<br>');
document.writeln('  </div>');
document.writeln('  <h2 class="sitemason_header" style="border-style:none; padding-top:1px; padding-bottom:1px; padding-right:5px; padding-left:5px; margin-top:6px; margin-bottom:6px; margin-right:8px; margin-left:8px; ">');
document.writeln('    <a name="Nomination_in_Brief"></a><p><strong><font size="3">Nomination in Brief</font></strong></p></h2>');
document.writeln('  <div class="sitemason_body" style="float:left; ">');
document.writeln('    <div style="text-align:left; ">');
document.writeln('      <label class="label" for="nomination_brief">Please give a short 3-4 sentence summary of the OTM nomination.</label>');
document.writeln('    </div>');
document.writeln('    <div align="left" class="value" style="">');
document.writeln('      <textarea rows="5" style="width:400px; " name="nomination_brief"></textarea>');
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document.writeln('  </div>');
document.writeln('  <br clear="all">');
document.writeln('  <div align="center" style="clear: both;" class="sitemason_body">');
document.writeln('				&nbsp;<br>');
document.writeln('  </div>');
document.writeln('  <h2 class="sitemason_header" style="border-style:none; padding-top:1px; padding-bottom:1px; padding-right:5px; padding-left:5px; margin-top:6px; margin-bottom:6px; margin-right:8px; margin-left:8px; ">');
document.writeln('    <a name="Submit_Your_Nomination"></a><strong><font size="3">Submit Your Nomination</font></strong></h2>');
document.writeln('  <div class="sitemason_body" style="text-align:left; border-style:none; margin-bottom:14px; ">');
document.writeln('    <div><p><em>Thank you for taking the time to submit a nomination. You will receive an electronic copy of your&nbsp;OTM shortly. </em></p><br clear="all">');
document.writeln('    </div>');
document.writeln('  </div>');
document.writeln('  <div class="sitemason_body" align="center" style="text-align:center; ">');
document.writeln('    <input type="submit" name="submit" value="Submit">');
document.writeln('  </div>');
document.writeln('  <br clear="all">');
document.writeln('</div>');
document.writeln('');
document.writeln('				</td>');
document.writeln('			</tr>');
document.writeln('			</table>');
document.writeln('		</form>');
