Special Recognition Request

Special Recognition Request
The Board will award certificates of commendation to honor remarkable accomplishments, exceptional service, and significant community events, including, but not limited to:
- Acts of heroism
- Significant community contributions and events
- Local organizations with significant impact on the District
- Community members retiring with ample years of service to the community
Nominee Information
Name of the Nominee (Individual or Group)
Name of the Event or Occasion
Does the individual or group reside within the District boundaries?

YesNo
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
What is the desired date of the recognition?

MonthDayYear
Date
How would you like to receive the requested recognition?

Mail to NomineePick up at DistrictPresent at Board Meeting
If you selected "Present at Board Meeting" please select the date of your preferred attendance.

MonthDayYear
Date
Please describe the purpose of the request and how it is of significance to the District.

0/250
Please upload any supporting documents that provide additional support to your request.

Cancelof
Requestor Information
Are you applying on behalf of a group/organization?

YesNo
Name

First NameLast Name
Phone Number
Please enter a valid phone number.
Email
example@example.com
Please verify that you are human*
Should be Empty:

Nominee Information