JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
City of Newburyport 2024 Public and Community Service Awards: Nomination Form
Please complete this form by February 9th at 5pm to nominate a community member for the 2024 Awards.
Sign in to Google
to save your progress.
Learn more
Nominator Name
Your answer
Nominator Email
Your answer
Nominator Phone Number
Your answer
Nominee Name
Your answer
Please Provide a Phone Number or Email Address for the Nominee
Your answer
For which award are you nominating this person or business?
Public Service Award (City employees, Board/Commission members, or Elected Officials)
Individual Community Service Award (Any resident)
Youth Community Service Award (Residents under 18)
Business Service Award (Any Business based in Newburyport)
Clear selection
Why is this nominee deserving of recognition for their public or community service to the city?
Your answer
Submit
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google.
Report Abuse
-
Terms of Service
-
Privacy Policy
Forms
