Community Award Nomination Form

All Nominations must be submitted by November 30, 2019.
The Community Awards are presented to individuals and businesses who are members of or volunteer for the Greater Burlington Partnership.
Award winners will not be eligible if they have won an award in the past five years.

Award Winners will receive the following:
• Recognition at the Annual Dinner on Friday, January 31, 2020
• Recognition in the Greater Burlington Partnership Newsletter
• Press release sent to media

Please note that this survey does not save. You may want to prepare your comments in another file and copy and paste your responses.

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* 1. Contact Information of the Person, Business or Program being nominated?

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* 2. Contact Information of the person submitting nomination

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* 3. Select the Award
(A separate form must be filled out for each award.)