2019 Santa Paula Latino Town Hall Community Awards Nomination Form
All nominations should be submitted by Saturday, August 17, 2019. Early submissions are appreciated.
Nominator (Your First and Last Name)
Your Phone Number
Please enter your phone number (the best number at which to reach you). We ask for this information in the event that we need more information about the person or organization you are nominating.
Your Email Address
Please enter your email address. We ask for this information in the event that we need more information about the person or organization you are nominating.
Please choose the award category for which you are nominating an individual or organization:
COMMUNITY SERVICE AWARD
COMMUNITY ORGANIZATION AWARD
JESS VICTORIA BUSINESS AWARD
CULTURAL ARTS AWARD
RAYMOND GARCIA HUMANITARIAN AWARD
Please enter the full name of the person or organization you wish to nominate for an award:
Nominee Contact Information
Please enter the phone number AND email for the person/organization your are nominating:
Please describe why you feel this individual or organization is deserving of your award nomination. Please provide as much detail as possible and give specific examples of service and/or accomplishments. The more detail you provide, the more likely it will be that the selection committee has enough information during the deliberation process to fully consider your nominee.
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google.
Terms of Service