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Nomination Form - 2024

As you are completing this form remember that nominees should have all of the following:  

  • Longevity of service to the community
  • Some contribution of volunteer service during the past year within the nominee's total volunteer efforts
  • Service within the city limits of Milwaukie. If you are unsure where the city limits are, please refer to a City of Milwaukie map (External link).

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Information about the person submitting the nomination

To keep track of the nominations, contact you if clarification or more information is needed about the nominee, and communicate about the process moving forward, we need to gather some contact information from you. This information is only for internal use in case we need to contact you about the nomination and will not be shared publicly. Thank you so much for submitting a nomination. We wish your nominee the best of luck! 

Maximum 255 characters

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Maximum 255 characters

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Please use format XXX-XXX-XXXX