Citizen of the Year Nomination Form

  • Thank you for nominating someone to be San Rafael's Citizen of the Year! While completing this nomination form, please provide as much information as possible to allow the selection committee to make the most informed decision possible. The selection committee may not know the person you are nominating, so please be descriptive in your answers.
  • Nominee for Citizen of the Year * Required
  • Nominee's Home Address * Required
  • Does this nominee live within San Rafael City Limits? * Required
  • Your Name * Required
  • Your Address * Required
  • When answering the questions below, please provide as much information as possible to allow the selection committee to make the most informed decision possible. The selection committee may not know the person you are nominating, so please be descriptive in your answers.
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