District 9 Star Nomination Form
Thank you for your willingness to submit a District 9 Star application. With this program, we aim to highlight an individual, group or organization from our community that has an outstanding record of giving back for the greater good.
We are reaching out to you for help identifying these individuals, groups, or organizations. Please consider nominating a worthy recipient.

It’s easy to do. The only criteria is that you may not nominate yourself. Simply complete the nomination form and submit it to us before midnight, Sunday, September 22. All nominations will be reviewed by District 9 staff and by Councilmember Pam Foley. Applicants will be notified of the outcome by Monday, October 1.

Should you have any questions about this process, please contact Michael Lomio at Michael.Lomio@sanjoseca.gov. Your name is important as we would like to acknowledge those submitting names.
Your First Name *
Your answer
Your Last Name *
Your answer
Your Email *
Your answer
Your Phone Number *
Your answer
Nominee's Fist Name *
Your answer
Nominee's Last Name *
Your answer
Nominee's Phone Number
Your answer
Nominee's Email Address
Your answer
Does this nominee live in San Jose District 9? A District map may be found here: http://www.sanjoseca.gov/index.aspx?nid=6290 *
Your answer
What contributions has the nominee made to improve the quality of life here in District 9 specifically or in San Jose more generally? *
Your answer
How has this nominee positively impacted the lives of those needing support/help the most? *
Your answer
On average, how many hours a week does this nominee volunteer their time? *
Your answer
Is there anything else you would like to share about this nominee? *
Your answer
Please provide professional and or philanthropic references. *
Your answer
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