2023 Annual Awards Nomination Form: Citizen of the Year

Each year, the Chamber of Commerce takes pride in recognizing individuals and businesses in our community who truly represent what is best about our community. The Chamber’s Annual Awards program serves as an opportunity for us to identify those who have gone above and beyond in helping to ensure that Santa Maria continues to be the premier community in our region in which to live and work.

We appreciate your help in bringing to our attention local businesses, citizens, and organizations who deserve consideration for one of these awards. Please provide as much information as you can; this form will serve as the starting point for the Awards Committee as they consider their selections for the year. All nominations must be received by the Chamber of Commerce no later than June 23, 2023.
1.Nominee Name:
2.Position:
3.Daytime phone:
4.Email:
5.Nomination Summary: In brief, please summarize the reasons you believe this individual is deserving of the 2023 Citizen of the Year Award.
6.How long has this individual lived in the Santa Maria Valley?
7.Volunteer/Leadership Roles. Please describe the leadership and volunteer roles that the nominee has held in the community. These could include service on committees or board, or significant ongoing volunteer activity on behalf of a community organization outside the nominee’s professional responsibilities.
8.Community Involvement. Please list the community organizations this individual is or has been a member of in the community. These could include service clubs, fraternal, religious, veterans, educational, political, youth-serving, or other community organizations. Also, highlight any community-based awards or recognition received by the individual not related to his/her employment.
9.Professional Recognition. Please highlight professional recognitions earned or received by the nominee which demonstrate high achievement, special competency, or unique recognition.
10.Other. Please share any other information you think the committee would find helpful in making its selection.
11.Your Name:
12.Daytime Phone:
13.Your E-mail: