Citizen of the Year

2015 Westmont Citizen of the Year Award
Nomination Form

Thank you for participating in the Westmont Community Awards process.
The deadline to submit nominations is February 26, 2016.

The purpose of this prestigious award is to honor a Westmont citizen who by his or her actions has shown themselves to be an asset to the Village of Westmont. The citizen must be nominated for their volunteer efforts during the 2015 calendar year. The award will be presented at the Annual Westmont Chamber Community Awards Dinner.
In order to be eligible for the award the possible winner must:
- Be nominated by an organization in town, one of the taxing bodies, or by another citizen;
- Be nominated for something that was done during the 2015 Calendar year;
- Have made a commitment of personal time that directly benefited Westmont;
- Be a citizen inside the corporate boundaries of the Village of Westmont during the entire 2015 calendar year and when presented with the award;
- Contribute significantly and consistently to advance the Village of Westmont; and,
- Have a voluntary and active role in civic and community affairs.
The nominator will fill out the information below and submit the application by noon, February 26, 2016 For more information please call (630) 960-5553.
An Ad Hoc Committee will meet to review the applications for completeness and qualification verification. All submissions will be kept confidential. The top three (3) nominees will be notified by Friday, March 4, 2016, although the name of the honoree will not be disclosed until the evening of the Annual Westmont Chamber Community Awards Dinner.

In filling out this form, please consider the following criteria: Diversity of activities, length of service, degree of involvement in 2015 and prior, and impact to the Village of Westmont.

Thank you!

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Nominee *

Nominee Address *

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Nominee Phone Number *

Nominee Work Phone Number *

Number of years nominee has resided in Westmont *

Number of hours volunteered in 2015 *

Person submitting application *

Phone Number *

Email *

Relation to Nominee *

List the names, address and phone numbers of three (3) references supporting your claims of the candidate as outlined on the nomination form.

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1. List all activities, clubs and organizations nominee has been involved in during the 2015 calendar year with offices held and a brief description of responsibilities. *

2. List all past activities, clubs and organizations nominee has been involved in while in Westmont with length of service, office held and a brief description of responsibilities. *

3. Describe briefly the exceptional qualifications of the nominee; include volunteer work and any special achievements or honors. *

4. Summarize the reasons why you, the nominator, believe your nominee should be Westmont’s Citizen of the Year. *

Submit

2015 Westmont Citizen of the Year AwardNomination Form​

2015 Westmont Citizen of the Year Award
Nomination Form