2021 Outstanding Citizen Nomination Form

Please print and mail to Susan Bratcher

 

Creston Community Service Club

2021 Outstanding Citizen Nomination Form

Deadline July 19th, 2021

NAME OF NOMINEE ____________________________________________

MAILING ADDRESS  ___________________________________________

                   ___________________________________________

TELEPHONE NUMBER ___________________________________________

 

I nominate _____________________________________ as an outstanding citizen of Creston for 2018.  Below list the specific community service or special project that this person had a dramatic impact on that benefited the larger Creston Community in 2018-2019.

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Name of person submitting this nomination _____________________________________

Phone Number _______________________  Email _____________________________

 

 

 

 

 

 

Please mail your completed nomination form to the following:  

Susan Bratcher, 640 Sterling Road, Creston, Ohio 44217

 

for questions call Susan Bratcher at 330-465-9176

NOTE:  The nomination must be made on this form.  Must be typed or hand written and may have attachments or use the back side of this form.

Persons living outside of Creston will be given consideration based on contributions towards the improvement of Creston.

Consideration should be given to long term service, although outstanding work on a short term project may be considered.

www.CrestonCommunityServiceClub.org