Greater Nashua Chamber of Commerce 2019 Citizen of the Year Nomination Form
The Citizen of the Year Award honors an individual of local prominence who has made significant contributions to the betterment of life in the greater Nashua area.

Nomination Criteria
• A person who continually volunteers his or her time, dedication and talents to Nashua and its citizens to make it a great place to live, work, play and learn.
• Consideration will be given for leadership and performance across multiple areas of community service over a period of years. While leadership within his/her company is important, the individual’s influence and impact should reach beyond their employment.
• The individual recognized does not have to be a member of the Greater Nashua Chamber of Commerce or the business community. They may serve on service, school, church, and/or community committees. They may be an individual from any walk of life, and there are no requirements or restrictions with regard to gender, race, religion, sexual orientation, or ethnic background.
• A person with demonstrated honesty and integrity who has shown a willingness to work with other Nashua residents, who is enthusiastic about the town and its citizens, and who works towards the betterment of the community.

Complete and submit this form, along with a brief bio of the nominee, answers to the questions and any letters of recommendation, no later than September 20, 2019 to Samantha at scassista@nashuachamber.com. Evaluation of the nominees will be based primarily upon the information submitted in the nomination form; however, Review Committee members’ personal knowledge of the nominees will also be considered. If a candidate is not selected this year, the individual can be nominated in future years; however, a new nomination form must be submitted for each year. Past Citizen of the Year award winners are not eligible for subsequent nominations. The award will not be given posthumously. All nominations will be kept confidential.
Email address *
Nominator Information
Name *
Your answer
Company/Organization
Your answer
Position/Title
Your answer
Address
Your answer
Daytime Phone *
Your answer
Nominee Information
Name *
Your answer
Company/Organization
Your answer
Position/Title
Your answer
Address
Your answer
Daytime Phone
Your answer
Email Address
Your answer
Select the area(s) where the nominee has made significant contributions: *
Required
Summarize the nominee’s qualifications based on the areas selected above:
1. What contributions has the nominee made? Please provide an overall description, specific examples of his/her contributions and what was achieved as a result of their involvement, and the general time frame in which those contributions have been made. *
Your answer
2. How has the nominee influenced others in those areas of contribution? *
Your answer
3. How has the nominee made improving and supporting the greater Nashua community in those areas a priority in their lives? *
Your answer
Please provide a brief bio of the nominee (consider including significant achievements, recognition or honors, community activities, greatest strengths, special qualities, etc.) *
Your answer
Names and contact information (email and/or phone number) of up to five people the committee can interview if your nominee is selected as Citizen of the Year. *
Your answer
Email anything else relevant you want the review committee to consider to Samantha at scassista@nashuachamber.com.
A copy of your responses will be emailed to the address you provided.
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