Central Aroostook Chamber of Commerce

Star Ladder to Success

Official Nomination Form
2012

Central Aroostook
Citizen of The Year Award

The Citizen of the Year Award recipient is an outstanding individual recognized for their impact on the lives of Central Aroostook citizens, a special individual who shows dedication and spirit beyond what is considered regular duty.

This award is sponsored by the Central Aroostook Chamber of Commerce and the Presque Isle Elks, Kiwanis and Rotary Clubs.

Nominee:

*Full Name

*Address:

Address2:

*City/Town

*State:

*Zip Code:

*Home Phone:

Occupation

* Reason for Nominating

Nominator:

*Full Name:

*Address:

Address2:

*State:

*Zip Code:

*Home Phone:

Occupation

*Email Address:

For this award the following characteristics will be considered: Present activities, past activities, charity/philanthropic efforts, Improvement in quality of life in Central Aroostook County.

Submit nomination form by: December 1, 2012

This award will be presented January 24th 2013

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