2023 Citizen of the Year Award Official Nomination Form

The Greater Mount Airy Chamber of Commerce is now taking nominations for the 2023 Citizen of the Year. An impartial committee will evaluate finalists. The winner will be honored during the Chamber Annual Meeting in 2024.

CRITERIA: Nominees should have clearly demonstrated leadership and hard work that have made Mount Airy/Surry County a better place in which to live and work. Careers of nominees should be in the areas of business, industry and public service BUT are not limited to these career areas. Executives or employees of non-profit organizations, elected officials or candidates for elected office and individuals who have previously held elected office are ALL eligible. 

Specific criteria include:

 1. Candidate is a VISIONARY – able to assess external and internal forces likely to significantly influence Surry County’s future and identify actions needed to manage these forces to maximum benefit.

 2. Candidate is a LEADER – not only through his/her hard work, but also through the ability to motivate others to become involved in improving Surry County. 

3. Candidate is HIGHLY RESPECTED – one who is known for being fair, ethical and honest in dealings with others.

 4. Candidate is an AMBASSADOR for business/industry and economic development -- involved in efforts to increase commercial and/or economic development. 

5. CHAMBER CONNECTION - Candidate should have track records of ongoing involvement (either by membership or on committee, etc.) in the Greater Mount Airy Chamber of Commerce. 

6. COMMUNITY INVOLVEMENT - Candidate should be active in community organizations such as United Fund of Surry County, Mountain Valley Hospice, Rotary, civic clubs, PTA, etc. 

Please submit your nomination by completing this official form and attaching a narrative of NO MORE THAN 2 PAGES, summarizing how your nominee meets the criteria.

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Nominee Section

Complete the nominee form by providing comprehensive details about the exceptional contributions and selfless acts of the nominated individual for the 2023 Citizen of the Year Award, highlighting their significant impact on Greater Mount Airy and their consistent embodiment of the spirit of service.

Name of Nominee: *
Name of Business/Organization: *
Business Address: *
Phone Number: *
Email:
*
Please explain, within a maximum of two pages, why you recommend the nominee for the 2023 Citizen of the Year award. Summarize how the nominee fulfills the criteria outlined for the award. *
Nominator Section

Complete the nominator section with your contact information and explain why the nominated individual for the 2023 Citizen of the Year Award deserves recognition, emphasizing their outstanding contributions and selfless acts that have significantly impacted Greater Mount Airy.

Name of Individual or Organization Making Nomination: *
Address:
*
Phone Number:
*
Email:
*
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