Citizen of the Year nominee *

Citizen's employer, if applicable

Nominee's position or title *

Nominee's immediate supervisor *

How has this individual made a difference in Ketchikan through his/her efforts? *

What associations/organization does the nominee actively participate in? *

How has his/her service impacted the associations/organization for which he/she works? Please be specific *

Please provide an approximate number of annual volunteer hours *

List any national, state or local awards the nominee has earned (if any). Include dates if possible. *

Is there any additional information you would like to share about your nominee?

Do you have any additional materials to upload?

Name *

Phone Number *

Your Email *