Awards Nomination Form

Citizen of the Year Awards Nomination

Please fill out this form to nominate for an award. You can choose either or both!
- The Park City Rotary Club recognizes an individual each year who has made an exemplary contribution to the Park City/Summit County community through his/her non-salaried volunteerism.
- Please include ALL fields below Nominee's Name
  
  First NameLast Name
- Nominee's Phone Number
  
  Area CodePhone Number
- Nominee's E-mail Address
- Reason For Nomination (optional)
  Explain why your nominee deserves the selected award.
- This award is distinct in that the Park City Rotary Club recognizes an individual’s contributions in their professional capacity. It recognizes individuals whose professional work has had a positive impact on the public.
- Please include ALL fields below Nominee's Name
  
  First NameLast Name
- Nominee's Phone Number
  
  Area CodePhone Number
- Nominee's E-mail Address
- Reason For Nomination (optional)
  Explain why your nominee deserves the selected award.
- Your Name
  
  First NameLast Name
- Your E-mail Address
Should be Empty:

Citizen of the Year Awards Nomination