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Citizens Recognition Awards Nomination Form

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CCR 2017_Nominations FlyerThe City of Fort Lauderdale Citizens Committee of Recognition (CCR) invites you to nominate a candidate for a Citizens Recognition Award. The Committee will review submitted nominations and make recommendations for the 2017 honorees to the Fort Lauderdale City Commission. The selected honorees will be recognized at the 43rd Annual Citizens Recognition Awards event on Tuesday, November 7, 2017. More details about the event will be available on the CCR web page soon.

Submit a nomination

To submit a nomination, please complete the form below. If you prefer a paper copy of the nomination form, please call 954-828-4746 or email strategiccommunications@fortlauderdale.gov.

Deadline

Nominations are due by Friday, July 28, 2017 at 5 p.m.

Questions

(954) 828-4746 or strategiccommunications@fortlauderdale.gov

 

CITIZENS RECOGNITION AWARDS NOMINATION FORM

Please correct the field(s) marked in red below:

1
NOMINEE INFORMATION
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NOMINEE INFORMATION
2
NOMINATION SUBMITTED BY
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NOMINATION SUBMITTED BY
3

NOMINATION CATEGORY
Please select the category this nomination is for. You may only select one category per submission.

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NOMINATION CATEGORY Please select the category this nomination is for. You may only select one category per submission.
4
Based on the category selected above, please describe in detail the nominee’s accomplishments or contributions to the community, including specific examples (1,000 words or less). Examples include significant contributions to the welfare and betterment of the community or the City, civic responsibility, financial contributions, volunteer service, leadership, projects accomplished, or other ways this person has improved the quality of life in Fort Lauderdale. A resume may not be substituted as a response to this question. 
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5
Based on the nomination category selected and the accomplishments and contributions provided in Question 4, why does the nominee deserve an award in this particular category (250 words or less)?
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6
Please provide a brief biography of the nominee (250 words or less). Please include information such as positions held, where the nominee is originally from, years lived in Fort Lauderdale, high school/college name, occupation, sports played, number of children/grandchildren, awards received, publications, etc. 
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7

FOR EXEMPLARY FORMER CITY EMPLOYEE CATEGORY ONLY

FOR EXEMPLARY FORMER CITY EMPLOYEE CATEGORY ONLY
8

SUPPORTING MATERIALS

Supporting materials, such as a nominee’s resume, news articles, letters of recommendation, etc., may be attached to the nomination. Supporting materials may not be submitted in lieu of answering the questions above and are limited to five (5) additional pages.

SUPPORTING MATERIALS Supporting materials, such as a nominee’s resume, news articles, letters of recommendation, etc., may be attached to the nomination. Supporting materials may not be submitted in lieu of answering the questions above and are limited to five (5) additional pages.
  1. To receive a copy of your submission, please fill out your email address below and submit.