Civic Awards Nomination Form Home / Township Government / Civic Awards Nomination Form Name of Nominee * First Name Last Name Address of Nominee * Address 1 Address 2 City State/Province Zip/Postal Code Country Email Address of Nominee Phone (Home) * (###) ### #### Phone (Work) (###) ### #### Which category is the nomination for? * Citizen of the Year Junior Citizen of the Year Outstanding Achievement in the Arts Outstanding Community Service Outstanding Athletic Achievement Why does the nominee deserve a Civic Award from the Township of Alnwick/Haldimand If the nominee volunteered, how many hours were involved? What did the nominee do and/or what contribution did they make to the Alnwick/Haldimand community in previous year to prompt you to nominate them for a Civic Award? What else do we need to know about this nominee? Please attach any additional information to help us when reviewing the nomination. Thank you!
