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2017 Citizen, Young Citizen, and Organization of the Year Nomination Form

  1. Each year, the City of Dublin recognizes a Citizen and Young Citizen who have made a significant contribution toward enhancing the quality of life for residents of Dublin during the previous calendar year (2017). Additionally, a Non-Profit Organization that has provided services, which have substantially benefitted the residents of Dublin, is also recognized. A celebratory event announcing the Citizen, Young Citizen and Organization of the Year winners will be held on the evening of Wednesday, February 21, 2018. The Citizen and Young Citizen of the Year will each receive a $300 donation made payable to the non-profit organization of their choice; and the Organization of the year will receive a $500 cash prize.

  2. I am nominating for...*

  3. Is the nominee a Dublin resident (required for Citizen and Young Citizen only):

  4. In order to be considered, nominations must be submitted electronically or in person to the City Manager's Office, 100 Civic Plaza, Dublin, CA 94568, Attn: Taryn Gavagan Bozzo, no later than 5:00 PM on Friday, January 19, 2018. Postmarks will not be accepted.

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