Citizen of the Year Nomination Form

The purpose of this award is to recognize one person who has done more than his part in "making our community realize its inherit potentialities",

Submit a nomination for a chance to have their hard work recognized at The 2024 Annual Meeting.

Nominees will be evaluated for their positive impact on improving our community & Somerset County as a place of inherent potentialities.

Fields marked with an * are required.

Nominator Information
Please fill out the fields below for the person submitting this nomination. **Not eligible for self-nomination**

First Name *

Last Name *

Email Address *

Phone *

Relationship to Nominee *

Nominee's Information
Please fill out the fields below for the person whom you are nominating.

First Name *

Last Name *

Title *

Company *

Industry of Company

Email *

Phone *

Work Address

Professional Involvement

Does the nominee currently reside in Somerset County? *

How has your nominee contributed to the economic vitality of Somerset County? *

Has this person recently received any other local recognition? *

If yes, please list...

Include past and present active involvement in the Somerset County Business Partnership: *