Citizen of the Year Nomination Form

Citizen of the Year Nomination Form

Directions: Only accomplishments for the past Lodge year (April 1 – March 31) are to be recognized

If you have questions, please contact the State Chairman: Cheryl Collins, 360-606-7524 or cherylacollins2006@comast.net

All entries must be submitted by March 15.

25 points possible
25 points possible
5 points each
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