2019 QVCOG Annual Dinner - Public Service Recognition Awards
Use this form to provide details about individuals to be recognized for their public service at the October 16, 2019 QVCOG Annual Dinner . The event will recognize those elected officials and municipal employees who have left government service since the last dinner or who will be completing public service at the end of 2019. It is based on your municipality putting forth the individual's name. Posthumous Recognition awards may also be given for those lost in 2019.
Email address *
Name of person completing this form. *
Your answer
Phone number of person completing this form. *
Your answer
Next
Never submit passwords through Google Forms.
This form was created inside of Quaker Valley Council of Government. Report Abuse - Terms of Service