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District 4 Constituent Recognition Request

The District 4 Constituent Recognition Program honors exceptional individuals, organizations, businesses, students, veterans, volunteers, and Eagle Scouts who make our community shine. 

Each honoree will be featured in my monthly newsletter and receive a personalized proclamation to celebrate their achievements. 

Nominate someone today by filling out the form—I can’t wait to celebrate our incredible community with you!  

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1. First Name *
2. Last Name
3. Email
4. Phone Number
5. What city or town do you live in?
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6. Which category best describes your recognition nomination?  
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7. What is the name of the individual, group, or business you’re nominating?
8. Why do you believe they deserve recognition? *
9. Are there any specific accomplishments or contributions you’d like to highlight?  
10. How has their work or actions positively impacted the community?  
11. Would you like to share any additional information or comments?  
12. How did you hear about the District 4 Constituent Recognition Program?  
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