Laserfiche WebLink
<br />MOUNDS VIEW CITIZENSHIP AWARD <br />2004 NOMINATION FORM <br /> <br />Name of Nominee: <br />Title (optional): <br />Address: <br />City, Zip Code: <br />Phone: Fax: <br />Email: <br /> <br />Nominated By: <br />Organization (if any): <br />City, Zip Code: <br />Phone: Fax: <br />Email: <br /> <br /> (Attach additional pages as necessary). <br /> <br />1.) How long have you known the nominee and in what capacity? <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br />2.) Describe briefly specific contributions the nominee has made to the community as it relates to the <br />Mounds View Citizenship Award criteria: <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br />