Creston Community Service Club Outstanding Citizen Nomination Form

Nomination Deadline: July 15, 2026

Nominee Information

Full Name	____________________________________________
Mailing Address	___________________________________________
Phone Number	___________________________________________

I nominate _____________________________________ as an Outstanding Citizen of Creston for 2026.

Basis for Nomination

Please provide a detailed description of the specific community service or special project this person had a dramatic impact on that benefited the larger Creston community.

Consider the following:

Long-Term Service: Has the nominee provided sustained service over many years?
Special Projects: Did the nominee's work on a short-term project have an outstanding impact?

(Please use the space below. You may attach additional pages or use the back of this form.)

Nominator Information

Full Name	____________________________________________
Phone Number	_______________________
Email Address	_____________________________

Submission Instructions and Notes

All nominations must be made using this form.

How to Submit

Please mail your completed nomination form to the following address:

Bethany Haynes 1970 Steiner Road Creston, Ohio 44217

Or email your completed nomination form to Bethany Haynes at beth.j.haynes@gmail.com

Questions

For questions, please call Bethany Haynes at 330-465-5717.

Important Notes

Format: The form must be typed or clearly handwritten.
Attachments: You may include attachments or use the back of this form for additional information.
Residency: Persons living outside of Creston will be considered based on the significance of their contributions toward the improvement of Creston.

Learn more about us: www.CrestonCommunityServiceClub.org