Civic Award

2013 Park & Recreation Commission CIVIC Awards
Date:      
Name of Nominee:      
Are you submitting this nomination for a:      
       
  Group, Club, or Organization Award      
  Corporate Neighbor Award      

If nominating an individual for a Citizen Award: 

     
  Nominee’s Address:
  Nominee’s Phone: (H)
If nominating a Group, Club, Organization or Corporate Neighbor Award:       
  Name of Group, Club, Organization or Corporate Neighbor:
  Name of Key Contact Individual:
  Contact’s Phone: (H) (W)
Person submitting this nomination:
  Name:
  Address:
  Email:
  Phone:

Applications must be submitted by June 13, 2013.

Provide a brief description (not to exceed one page) of the nominee’s accomplishments and qualifications for this award: