Citizen of the Year Nomination Form

Thank you for your participation in the Oconomowoc Area Chamber of Commerce Annual Awards. The Chamber has been a proud host of these awards since 1985!

CITIZEN OF THE YEAR AWARD CRITERIA: This award recognizes an individual whose volunteerism and outstanding service and dedication have made a significant contribution to the community. Nominees are considered based on their community involvement, service group involvement, school involvement, charitable contribution, and leadership development.

If you would like to nominate someone for this award, please answer the following questions and return to the Oconomowoc Area Chamber of Commerce by noon on September 13. Previous award recipients are eligible to be considered every ten years.

Your Name (Nominator) *

First

Last

Email *

Phone *

Nominee Name *

First

Last

Address

Address Line 1

Address Line 2

City

State

Zip Code

Nominee Phone *

Nominee Email *

Relationship to the Nominee *

Please indicate if you wish to remain anonymous *

I want to remain anonymous, please do not share my information with the nominee.
I do not want to remain anonymous, you can share my information with the nominee.

Nomination Questions

Please make sure to provide enough detail for the selection committee to consider your nominee – although it may not be necessary for every question, 150 to 300 words per question would help ensure a comprehensive understanding of why you have nominated this person.

1. Describe the nominee’s community involvement over the last 3–5 years. Consider volunteer involvement with Oconomowoc area schools, service clubs, non-profit organizations, youth, and churches. *

2. Describe how this individual has strengthened the Oconomowoc community *