Our Town Hero Marigold Award Nomination Form

Our Town Hero Marigold Award Nomination Form
WHAT'S AN OUR TOWN HERO?

We define an Our Town Hero as anyone who goes out of their way to do good in the community without asking for anything in return - especially when they think nobody will notice them. These people make Nevada a better place, whether in simple acts of kindness or larger acts of service.
HOW TO NOMINATE A HERO

Does someone in your life embody what it means to be an Our Town Hero? Nominating them is simple. Just complete the following form with information about yourself and your nominee. Feel free to nominate as many people as you feel are deserving!
Nominee's Name*

First NameLast Name
Nominee's Phone Number*
Nominee's E-mail Address*
example@example.com
Community*
Agency or Organization worked with*
Type N/A if Not Applicable
Nominee Service*

Law EnforcementFire DepartmentEMS/First ResponderEveryday CitizenVolunteerOther
Please describe how the nominee has positively impacted the community.*
Explain how your nominee has supported the local community.
Explain why this person stands out as a local hero.*
Explain why your nominee deserves the selected award.
Your Name*

First NameLast Name
Your E-mail Address*
example@example.com
Relation to Hero Nomination?*
I.e. Spouse, Child, Co-worker, Boss.......
Your Phone Number*
Should be Empty: