Citizen Of The Year | Annual Dinner | Lakeland Hills Family YMCA

ABOUT THIS AWARD:

The Citizen of the Year Award is presented to an individual from each of the communities within the Y service area who, through his or her volunteer efforts, has made a difference in the quality of life for its residents. The ideal candidate has given time and energy without personal gain. His or her unselfish contributions and positive attitude have distinguished the individual as a “model citizen.” You may nominate more than one person, from more than one community (complete separate nomination form for each).

Your Information:

Please complete this section with YOUR personal information. All submissions remain anonymous.
Nominator's First Name:*
Nominator's Last Name:*
Nominator's Email Address:*
Nominator's Phone Number:*

Nominee Information:

Please complete this section with information about the person you are nominating.
Nominee First Name:*
Nominee Last Name:*
Nominee Email Address:*
Nominee Phone Number:*
Nominee Residential Address:
Street Address:*
Street Address
Address (Line 2):
Address Line 2
City:*
City
State:*
State
Zip Code:*
ZIP Code

Nomination Information:
Town of Nominee's Service:*
Reason for Nomination:*

Lakeland Hills Family YMCA

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2020 Citizen of the Year Nomination

The Citizen of the Year Award is presented to individuals who, through his or her volunteer efforts, have made a difference in the quality of life for residents in the communities the Y serves.

ABOUT THIS AWARD:

Your Information:

Nominee Information:

Nominee Residential Address:

Nomination Information:

Annual Dinner & Awards Presentation

Lakeland Hills Family YMCA Events

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