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Copy and paste the following form into your word processor to nominate your choice for the Carmi Chamber of Commerce Citizen of the Year.  The nomination cover sheet must be completed and returned to the Chamber no later than Thursday, September 23rd.  Mail your completed form to:

Carmi Chamber of Commerce

225 East Main Street

Carmi, Illinois  62821 - 1860

Carmi Chamber of Commerce

Nomination for Citizen of the Year

Candidate Name____________________________________________

Step 1 – Provide a detailed list of most recent involvement with community activities and civic projects. Be sure to include any leadership roles in church, community, youth or civic organizations. Attach additional descriptions if needed. (50% of score)

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Step 2 – Provide examples of past involvement in the community which reveals the candidate’s long-time history of community dedication. These examples should represent activities prior to those listed in Step 1. Attach additional descriptions if needed. (25% of score)

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Step 3 – Provide one or more letter(s) of personal recommendation which speak about the personal character of the candidate (25% of score)

Selection summary: Community involvement over past 12 months (50%), Community involvement in previous years 25%, and Personal character 25%


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