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Citizen of the Year Nomination Form
Please note that once you click the SEND button at the bottom of the form, the information you entered will disappear and a confirmation message will appear at the very bottom of the screen. (You may need to scroll down on the screen once you have submitted the information to see it.) In addition, within 1-2 days, you will also receive an email confirming that we have received your nomination. If you do not hear from us, please feel free to contact us at firstname.lastname@example.org or by phone at (802) 518-0030.
Your Name (required)
Your Phone Number
Your Email (required)
Name of Individual Being Nominated
Nominated Individual Phone
Please describe how this individual demonstrates a community/volunteer spirit.
Please describe this individual’s charitable works within the community.
Please describe how this individual has made a significant impact on the community.
Please demonstrate how this individual has demonstrated leadership traits that have inspired others.
Please provide any additional comments you think may be helpful.