Mark Keesecker Good Neighbor Award

You may nominate yourself or submit a fellow member. A significant contribution of personal time is preferred, but contributions of money, materials, or other resources will be considered by the committee. The nominees will be contacted if more information is needed. All nominations must be submitted by Friday, April 26, 2024.

Nominee Name*
First Last
Email*
Company/Firm
Phone*
Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code
Name
If you are completing this application and you are not the nominee, please also provide your name.
First Last
Community Programs or Organization Served*
Nature of community work nominee/applicant performed (brief description of the organization’s mission and the contribution)*
How long has the nominee been volunteering with the organization?*
Describe how the nominee’s individual efforts have made the community a better place to live. If available submit testimonials or published reports from the organization or individuals served that document the nominees/applicant’s activities. These documents should attest to the individual involvement of the nominee. Please highlight the nominees name in documents where it is not immediately evident*

Mark Keesecker Good Neighbor Award

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