Citizen of the Year Nomination Form

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Shoreview Citizen of the Year Nomination Form

Purpose: To identify, honor and reinforce the activities of exceptional caring citizens whose service or performance exemplifies the spirit of giving back to their community and fellow Shoreview residents. It is the goal of the City Council for this award to not only publicly recognize the volunteer efforts of deserving citizens but also inspire others to step up and continue the long tradition of Shoreview citizens volunteering and giving back to their community. 

Criteria: Nominee must possess and demonstrate a generous community spirit. Nominee has proven his or her commitment and has a pattern of effort directed toward the Shoreview community. Nominee is a role model in the community and thereby raises the standards of social responsibility. 

Guidelines to be Considered: (Time spent and benefit resulting to the City of Shoreview)

  • City affiliations and organizations (City organizations, elected, voluntary or appointed City positions or committees)
  • Affiliations with nonprofit organizations or volunteer groups that benefit the City of Shoreview and its residents (charitable agencies, civic organizations and etc.)
  • Individual contributions that benefit the City of Shoreview and its residents

Recognition: The Citizen of the Year will be honored by the Shoreview City Council at the annual Volunteer Recognition Event, his/her name will be added to a plaque placed in the Shoreview City hall and recognition will be submitted to the City newsletter and local news media. 

All completed nomination forms should be returned to:

City of Shoreview, Administration Department

4600 Victoria Street North

Shoreview, MN 55126

OR

Amy Truhlar, atruhlar@shoreviewmn.gov

NOMINATIONS DUE BY: October 1, 2018

You can also download a copy of this form and submit it via email or mail to the above address. 

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Citizen of the Year Nominee
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Address of Citizen of the Year Nominee
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Nomination Submitted By
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Nominator's Email
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Nominator's Address
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Please explain the contributions this individual makes to the City of Shoreview.
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Please explain your reason for nominating him/her.
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Please give a description of this person. How is he/she a role model for the City of Shoreview? Please provide specific examples of volunteerism and.or program support that has benefited the community and its residents.
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Please share some background information about this person (education, family, hobbies, etc. ) or any other information that may help set them apart from other nominees. 
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