2019 MAPA Regional Service Award Nomination Form

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This award honors a GROUP - a jurisdiction, organization, department, agency or section thereof, either public or private, operating in Douglas, Sarpy, Washington, Mills, or Pottawattamie counties which has:

1. Recognized that regional problem solving transcends county boundaries
2. Made a contribution to the region that helped it improve or grow

Your completed nominations may be emailed to: mapa@mapacog.org

or mailed to:
MAPA Award Nominations
2222 Cuming Street
Omaha, NE 68102

Nominations must be received by Friday, July 26, 2019

Nominee *

Nominee Affiliation (Ex: Public Works Dept., City of _____, XYZ Co., Neighborhood Association, etc.) *

What positive efforts has this nominee made to help others, the environment, community, region, etc.? *

What or who benefited from these efforts? *

How did these efforts promote regional cooperation? *

Submitted by: *

Phone #: *

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