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Welcome

Nominator's First Name:

Nominator's Middle Name (optional):

Nominator's Last Name:

Nominator's Street Address:

Nominator's Phone Number:

Nominator's Email Address:

Nominee's First Name:

Nominee's Middle Name (optional):

Nominee's Last Name:

Nominee's Street Address:

Nominee's Phone Number:

Nominee's Email:

Describe the personal characteristics that make this nominee deserving of the Minooka's Citizen of the Year award.

How have the actions of this nominee made Minooka a better place?

Please place any additional information you would like to provide here. (optional)