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NOMINATOR INFORMATION
*
Indicates required field
Your Name (the person completing this application):
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Your contact information – email and preferred phone number:
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NOMINEE INFORMATION
Nominee Name (the name of the person(s) or group you are nominating and who, if selected, will receive the award):
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Reason for your Nomination (100 words or less):
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When did the nominee’s actions occur?
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Nominee’s contact information
Phone:
*
Email:
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Website:
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Additional Comments?
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Please indicate which category of recognition you feel is appropriate for your nominee:
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CIVILITY YOUTH AWARD: Recognizes young people, age 8-17
SENIOR CIVILITY AWARD: Recognizes individuals age 63 years and older
CIVILITY NEIGHBOR AWARD: Recognizes neighbors or homeowner associations
CIVILITY AT WORK AWARD: Recognizes employers and workplaces
COMMUNITY CIVILITY AWARD: Recognizes community-based, faith-based, or non-government organizations
CIVILITY BUSINESS AWARD: Recognizes for-profit business and employers
PUBLIC SERVANT CIVILITY AWARD: Recognizes notable employees of public organizations or agencies
ELECTED CIVILITY AWARD: Recognizes those who hold elected office
LEADERSHIP CIVILITY AWARD: Recognizes notable leaders in our region
CIVILITY COOPERATIVE AWARD: Recognizes where two or more individuals or organizations modeled collaboration and civility
CIVILITY INFLUENCER OF THE YEAR: Recognizes social media influencers who modeled civility
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Home
About
About Us
Civility First Leadership
Donate
Volunteer
Events & News
Pledge
>
Sign the Civility Pledge
>
Letters of Support
>
Signers
Civility Cities
Civility Churches
Civility School Districts
Past Events
Community Survey
Thoughts on Civility
>
Media Links
2022 Art Contest
Nominations for 2022 Civility Award
Resources
What You Can Do to Reduce Polarization
FAQs
Library
Contact
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