2024 Outstanding Citizen Nomination Form

Please print and mail to Susan Bratcher

 

Creston Community Service Club

2023 Outstanding Citizen Nomination Form

Deadline July 19th, 2022

NAME OF NOMINEE ____________________________________________

MAILING ADDRESS  ___________________________________________

                   ___________________________________________

TELEPHONE NUMBER ___________________________________________

 

I nominate _____________________________________ as an outstanding citizen of Creston for 2024.  Below list the specific community service or special project that this person had a dramatic impact on that benefited the larger Creston Community in 2023-2024.

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Name of person submitting this nomination _____________________________________

Phone Number _______________________  Email _____________________________

 

 

 

 

 

 

Please mail your completed nomination form to the following:  

Bethany Haynes, 1970 Steiner Road, Creston, Ohio 44217

 

for questions call Bethany Haynes at 330-465-5717

NOTE:  The nomination must be made on this form.  Must be typed or hand written and may have attachments or use the back side of this form.

Persons living outside of Creston will be given consideration based on contributions towards the improvement of Creston.

Consideration should be given to long term service, although outstanding work on a short term project may be considered.

www.CrestonCommunityServiceClub.org