Recognition Request Form
Your Name
First Name
Last Name
Today's Date
-
Month
-
Day
Year
Date
Type of Recognition Requested
Citizen Recognition Award - Notes the contributions of an individual, group or organization, for either a long-standing contribution or a specific act within 12 months of the recognition
Proclamation - Designates the focus of a specific day, week or month in Ogden City
Resolution - Recognizes the collective efforts of an individual, group or organization
Name of Group or Individual Requested to be Recognized
Group or Individual Contact Name
First Name
Last Name
Contact Phone Number
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Area Code
Phone Number
Contact E-Mail Address
example@example.com
Purpose of the Recognition
Background Information
Recognition Criteria - Select all that apply to the Individual or Group
Significant contribution to residents and/or the local community
Receipt of state or national recogntion
Exemplify a strong sense of volunteerism, civic pride and/ or commitment to bettering the community
Celebrate a notable anniversary or historic event
Additional Notes
Your E-Mail Address
example@example.com
Submit
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