2025 Nomination for the Civic Service Award
The Chamber SWLA honors an outstanding citizen of SWLA with the Civic Service Award each year. This person shows lifetime outstanding contributions to SWLA in their profession, personal life, community and civic service.
Name of Nominee
First Name
Last Name
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Name of Nominator
First Name
Last Name
Company/Organization
Email
example@example.com
Please detail the nominee's overall contribution to community progress during 2025 in political, economic, and cultural areas. Your nominee must not have received remuneration for said work nor have been done in the regular line of duty. In the cultural area, do not list social clubs, etc.
Please list/detail your nominee's civic leadership ability over past years. The candidate must be a person who has rendered the greatest service to the community without being connected with the individual's vocation or profession.
Please detail the most outstanding personal, professional, or business contributions to the community that you think the nominee has made.
Please list the nominee's service to the community through religious and fraternal affiliation such as offices held or accomplishments or participation.
Other Comments:
Would you like to share more information about the person you are nominating? Please attach file here.
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