2016 Citizen of the Year - King City Chamber of Commerce

2016 Citizen of the Year
Nomination Form
Criteria for Citizens of the Year:
1) Must have principle residence in King City, Lockwood, Jolon, Pine Canyon,
Bitterwater, San Lucas or San Ardo.
2) Must contribute to community in more than one aspect (church, service
organizations, business, etc.)
3) Must have lived in the area for at least three (3) years
Past Citizens of the Year: Becky Tully, Catherine Whitney, Tom Grim, Virginia
Glosson, Don & Edith Carroll, Ed Ballengee, George “Porky” Tognetti, Harry Casey,
Edward Fischer, Elmer Tognetti, Leon Olson, Jim Pettitt, Irving Copley, Eddie El-Helou,
Bill Dye, Marion & Pat Pope, Bob Meyer, Bruce Graham, Bob Martin, John Buttgereit,
Susan Krause, David Tavernetti, Johnny Gill, John & Donna Myers, David & Susan Gill,
Vince & Tina Lopez, Nate Holaday, Marie Goodwin, Burt & Cheryl Silva, Rich & Debbie
Benson, Richard Casey, Suzi Taylor, Mickey & Patty Hearne, Frank Lopez, Byron Lynn,
Mikel Ann Miller, Floyd Owens, Roger Borzini, Robert Cullen, Danny Conaster.
Nominee Information
Name(s)_______________________________________________________________
Address_______________________________________________________________
Phone _________________________ Additional Phone_________________________
(Please note significant accomplishments. Additional pages of support material may be
attached to this form.)
____________________________________________________
____________________________________________________
____________________________________________________
____________________________________________________
____________________________________________________
Nominator
Name/Organization______________________________________________________
Address________________________________________Phone__________________
Email _________________________________________________________________
Nominator’s Signature______________________________Date__________________