2026 Henderson Chamber Distinguished Citizen Award Nomination Form

2026 Henderson Chamber Distinguished Citizen of the Year Nomination Form

Application open through September 25, 2026
The nominee for the Distinguished Citizen of the Year should be an individual who has worked diligently for the growth and development of Henderson County. The recipient will be recognized at the Henderson Chamber’s Annual Dinner.

Criteria for the Distinguished Citizen of the Year nominees are:
- The individual must have provided the work over a number of years.
- The community service that this individual has provided must be in addition to his/her regular job or work.
- The individual must have provided voluntary services in a number of different community fields. Four categories of consideration are: church, community development, youth, and humanitarianism.
Please provide information for the nominee below. All nominations must be received by September 25, 2025.
Nominee Information

Please fill out all of the following information for your nominee.
Nominee Name

First NameLast Name
Nominee Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Family Member of Nominee who we can contact for more information:

First NameLast Name
Family Member's Relationship to Nominee
Family Member's Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Nominator Information

Please fill out your contact information in case we need additional information.
Nominator Name

First NameLast Name
Nominator Email
example@example.com
Nominator Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Nominee's Volunteer Work

Please fill in the nominee's relevant volunteer information to the best of your knowledge.

Volunteer Work

Rows	Organization	Volunteer Area	Years of Service
#1
#2
#3
#4
#5
#6
#7
#8
#9
#10

Please provide more information on volunteer activites and why this person is deserving of the award.

0/1000
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2026 Henderson Chamber Distinguished Citizen of the Year Nomination Form

Nominee Information

Nominator Information

Nominee's Volunteer Work