Cypress County - Citizen of the Year nomination

Citizen of the Year nomination

<form-template>
	<fields>
		<field type="paragraph" subtype="p" label="This award has been established to recognize a person who has displayed continued dedication and perseverance to a cause or causes that have ultimately benefited the citizens of Cypress County and the public at large." class="paragraph"></field>
		<field type="paragraph" subtype="p" label="Application deadline is Friday, June 14, 2024." class="paragraph"></field>
		<field type="radio-group" label="Which award are you nominating this individual for?" class="radio-group" name="radio-group-1682098294602">
			<option value="Citizen" selected="true">Citizen of the Year</option>
			<option value="Young">Young Citizen of the Year (must be attending school (Grade 1-12) and a resident of the county)</option>
		</field>
		<field type="header" subtype="h2" label="Nominee" class="header"></field>
		<field type="text" subtype="text" label="Name of nominee" class="form-control text-input" name="text-1682097298167"></field>
		<field type="text" subtype="text" label="Mailing address" class="form-control text-input" name="text-1682097313054"></field>
		<field type="text" subtype="text" label="Postal code" class="form-control text-input" name="text-1682097326199"></field>
		<field type="text" subtype="text" label="Land location or municipal address" class="form-control text-input" name="text-1682097527615"></field>
		<field type="text" subtype="text" label="Phone number" class="form-control text-input" name="text-1682097556402"></field>
		<field type="header" subtype="h2" label="Nominator" class="header"></field>
		<field type="text" subtype="text" label="Name of nominator" class="form-control text-input" name="text-1682097570528"></field>
		<field type="text" subtype="text" label="Mailing address" class="form-control text-input" name="text-1682097829522"></field>
		<field type="text" subtype="text" label="Postal code" class="form-control text-input" name="text-1682097846207"></field>
		<field type="text" subtype="text" label="Phone number" class="form-control text-input" name="text-1682097857409"></field>
		<field type="header" subtype="h2" label="Individual and family history" class="header"></field>
		<field type="textarea" label="Provide a brief description of the nominee and his/her family. How long have they lived in the community or the county, etc." class="form-control text-area" name="textarea-1682097921082"></field>
		<field type="header" subtype="h2" label="Community involvement and leadership capabilities" class="header"></field>
		<field type="textarea" label="Describe or list the nominee’s most current and past involvement in the community. How does your nominee get involved in the community? (volunteering, community service, community initiatives)." class="form-control text-area" name="textarea-1682097940203"></field>
		<field type="header" subtype="h2" label="Special accomplishments" class="header"></field>
		<field type="textarea" label="How has the nominee’s participation improved the “Quality of Life” in their local or broader municipal community." class="form-control text-area" name="textarea-1682097955008"></field>
	</fields>
</form-template>

Skip To Content

Municipality of Cypress County

Quick Links

Citizen of the Year nomination

Citizen of the Year nomination