1.Nominee's Name:

2.Nominee's Position:

3.Nominee's Company Name/Organization/Affiliation:

4.This Nomination for the Award for Citizen of the Year is based on the following qualifications:

Consistently demonstrated excellence in professional and community leadership.

Made, or is making, significant contributions to the welfare of the community through involvement and participation.

Given freely of their time and energy for community betterment, contributing to positive economic growth and stability for the area.

Will submit an email with information to chamber@gardnerma.com.

5.Nominated by: