Nominee Information
Name (as it will appear in print)
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Organization / Affiliation
Address
City
Zip Code
Council District
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Telephone
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Date of Birth (mm/dd/yyyy)
E-mail
Nominator Information
Name
*
Organization / Affiliation
Address
Zip Code
Council District
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Telephone
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Email
What makes this person a Good Neighbor?
In 300 words of less please give a description of why you believe this person exemplifies the qualities of a good neighbor.
You may attach additional information, through either lists or narrative, to this nomination form. What do you want the judges to know about the background of your nominee or what makes them unique? Remember, the judges will not be able to ask you questions regarding your nomination so be as thorough as possible.