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2. Check a box for the 1 award category for which this nomination is being submitted using the award category as a guide:*

   1. Neighborhood City Partnership Award
   2. Neighborhood Community Partnership Award
   3. Neighborhood Improvement Award
   4. Neighborhood Outstanding Volunteer Leadership Award
   5. Neighborhood Youth Volunteer Award
   6. Neighborhood Communications Award
   7. Neighborhood Arts Award
4. Award Nominee*
6. Award Nominee Address:
8. City
9. State
10. Zip Code
12. Phone*
14. Email*
16. Nominator Name:*
18. Address
20. City
21. State
22. Zip Code
24. Phone*
25. Email*
27. Comments*
    Provide a description detailing the nominee's activities and/or contributions as to why they should be an award recipient using the criteria of the award category as a guide:
29. Important Note

    Please attach or mail documentation such as pamphlets, articles, presentations, photographs, news clippings, letters of support, etc. to reinforce your nomination to this electronic nomination or you can send hard copies by mail to: Office of Neighborhood Services, 215 Church Avenue SW - Room 357 South, Roanoke, VA 24011 or by email to communityengagement@roanokeva.gov.

30. Attachments
Leave This Blank:


32. 1. Receive an email copy of this form.
33. Email address

    This field is not part of the form submission.

34. Submit

* indicates a required field