Annual Awards

Nominator

Who is submitting this nomination? Please list the person who should be contacted if there are questions.

Name *

First

Last

Layout

Phone *

Job Title *

Email *

Municipality or Organization *

Which Award Are you Submitting for Nomination? *

Name of Municipality and Program Being Nominated *

Narrative: Why are you making this nomination and how does it fit within the award category? *

Please use the space below for the required narrative and explain how the nomination fits the chosen award category.

Relevant Links

Please include any relevant links or documents in the space below.

File Upload: Please upload additional documents or information here

Click or drag files to this area to upload. You can upload up to 4 files.

Please upload any relevant documents here.

Nominee Information

Please list below the name(s) and title(s) of individuals who should receive recognition for this award at the OCMA Annual Conference.

Name *

First

Last

Email *

Title *

Jurisdiction *

For Career Achievement Award

All candidates for the Career Achievement Award must have acquired at least 10 years of consecutive, senior level local government service in the State of Ohio to be considered for this award. Please document the candidates years of senior level service by listing positions and years served below.

Positions and Years of Service

Who else should be receiving recognition?

Please include the names, phone numbers, titles and email addresses of any other people who should be included as part of this recognition.

Nominator

Nominee Information

For Career Achievement Award

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