Office of Senator Samra Brouk's Community Recognition Suggestion Box
Do you know of an extraordinary neighbor, friend, student, teacher, co-worker, volunteer group, business or organization in Senate District 55 that has made a significant contribution to our community? Please help us recognize them!

Through Senator Samra Brouk's Community Recognition Program, we will acknowledge and highlight community members who have positively contributed to the 55th Senate District.

The completed forms will be reviewed by our Community Outreach and Development team. A staff member may contact you to request further information.

Due to the high volume of submissions, we cannot guarantee all nominees will be recognized through this program.

Thank you for your helping us spotlight extraordinary community members!
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Name(s) of Nominee(s): *
Select the category that describes your nominee(s): *
If nominating an individual, group or organization, please describe their occupation or involvement in the community (Ex: School teacher or faculty, student, local artist, librarian): *
If nominating a group, please provide the names of the group members:
Reason for the nomination (please describe in detail why they should be recognized): *
Nominator's name: *
Nominator's email: *
Nominator's phone number: *
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