Washingtonian Award

Washingtonian Award Nomination

Nominate a local resident for their service to the Washington Community. They should be an individual with a history of unselfish service and commitment to the community. ALL Information is required for nomination to be considered.

CRITERIA FOR NOMINATION:
1. Only contributions to the welfare of the community outside of their business profession will be considered when choosing a winner.
2. The recipient of the award must have established residency in the 61571 zip code for at least five (5) years, but need not presently live in the 61571 zip code.
3. Recipients are only eligible to receive the award one time.
4. Nominations will be kept on file for three (3) years.

ENTRY DEADLINE IS January 31, 2025

Washingtonian Award Nomination Form

Nominee’s Name*
First Last
Nominee’s Address*
Nominator’s Name*
First Last
Nominator’s Email*
Nominator’s Phone
Please provide some background information about nominee (family, education, service, etc.)
Tell us why you feel this person should receive this award? What makes this nominee stand out in their contribution to the community?
Please include specific examples of what they do/have done to contribute to Washington. Generalizations such as “He’s a good man” or “She’s done so many things for the town” are not helpful in the selection process. Please use the space below, the back of this form, or another paper, to tell why your nominee should be awarded the Washingtonian Award.
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Washingtonian Award Nomination

Washingtonian Award Nomination Form

Washington Chamber of Commerce

Mailing Address:

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