Citizen of the Year Nominee

Fill out the form below to nominate a Citizen for the 2019 Awards of Excellence Gala - Citizen of the Year Award.

First Name*

Last Name*

Email Address*

Phone*

Name of Nominee*

Description of Achievements - Briefly describe why you think this Nominee deserves this award.*

How has this nominee demonstrated outstanding leadership and citizenship in the community?*

How has this nominee demonstrated exemplary vision, civic pride and commitment to the betterment of the community?*

Is Nominee aware of this nomination?*

YesNo

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Nomination Submitted By

*

I acknowledge that I have read and understand that my nomination qualifies for the category criteria selected.

First Name*

Last Name*

Phone*

Email*