Citizen of the Year Nomination Form

In choosing the recipients of the SouthWest Mobile County Chamber of Commerce Citizen of the Year, regard is given to the nominee's achievements in the year immediately prior to receiving the award. As well as their past achievements and ongoing contribution to the community. We will honor this recipient at an award banquet and recognize their achievements for dedication to community service.

Fields marked with an * are required.

Nominee Information

Name *

Phone Number *

Email *

Business *

Position *

Address *

Achievement and Nature of Service

1.) What contributions has the nominee made to the welfare and betterment of the community? *

2.) Provide evidence of lasting contribution to the community and the impact the nominee has made. *

3.) How has the nominee participated in community activities and civic enterprises? *

4.) Provide examples of personal and business progress the nominee has made. *

5.) How has the nominee cooperated with individuals and civic organizations? *

Nominator Information