Neighborhood Leadership Award Nomination Form

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Please correct the field(s) marked in red below:

1
Name of Nominee
2
Phone Number of Nominee
3
Email of Nominee
4
City of Carrollton Department or Organization Nominee Represents 
5
Organization Volunteer Job Title
6
Total length of time volunteer has served the organization 
7
Typical frequency and duration of service 
8
Nominee's primary duties
9
Please describe the nominee's outstanding accomplishments and how the impact of their service has helped meet needs in their organization 
10
Reason(s) this person should receive the 2022 Carrollton Cares Neighborhood Leadership Award 
Please include a picture of the nominee with your nomination. 
11
Your name
12
Your email 
13
Your phone

                                          If you have any questions, please reach out via email or phone below.

Neighborhood Partnership Office                                   

City of Carrollton                                                                                                            community.development@cityofcarrollton.com

1945 E. Jackson Rd                                                                                                                             972-466-4299

  1. To receive a copy of your submission, please fill out your email address below and submit.