Citizen of the Year Nomination Form - Grimes Chamber & Economic Development

Citizen of the Year Nomination Form

Annually, Grimes Chamber & Economic Development recognizes a few select individuals and organizations for their extraordinary commitment and contribution to the community of Grimes. 

This nomination is for the category of:

CITIZEN OF THE YEAR

Winners will be recognized at the Grimes Chamber and Economic Development Annual Dinner and Awards Banquet in late January.

Thank you for taking the time to complete this nomination form.  Should you have any questions, feel free to contact the GCED office at (515) 986-5770.

* denotes a required field.
First Name: *
Last Name: *
E-mail: *
Address 1: *
City: *
State: *
Zip Code: *
Phone:  
Nominated Citizen Name: *
Please provide the name of the person you are nominating.  
Community Support: *
In what ways has this nominee contributed to the overall betterment of the Grimes community either in the past year, or over a longer period of time?  
Citizen Impact: *
What positive impacts or achievements has this person achieved in support of this nomination?  
Other Supporting Information: *
Provide any additional comments or information that should be taken into account when considering the nominee for this award.  
Supporting Documents:  
If you have any additional supporting documents (i.e. letters of support, media, award information) that you would like to submit, you can upload them here. Supporting documentation is not required.  
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