Natomas Community Awards Nomination Form

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Fo n o i t a Nomin

Nominee: Individual or Business Name:



Business Contact Person: (Name and Title) Address:

City

Phone Number:

Alternate Phone Number:

E-mail Address:

Length of Residence or Business in Natomas:

Award:

Volunteer of the Year

Outstanding Youth Award

Exemplary Small Business Award



State

Zip Code

years

Exemplary Corporate Award

months

Community Leader Award

Nominated by: Name

Phone

E-mail

Address

City

State

Nomination Statement: Please describe the nominees’ background, why you believe he/ she/business deserves recognition, and provide at least two examples of nominees’ community commitment. Nomination statements should be attached as a separate sheet and may not exceed 250 words.

Sponsors:



Zip Code

Shari Kantor CPA