1.Nominee's Name:

2.Nominee's Position:

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

4.This Nomination for the Award for Community Service is based on the following qualifications:

Made noteworthy accomplishment(s)

Exhibited outstanding initiative, inspiration, leadership, and organizational skills which produced significant results directly benefiting the community and its citizens.

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

5.Nominated by: