— NOMINATION FORM —
BOARDS/COMMISSIONS

If you know a citizen of Glocester who exemplifies the spirit of volunteerism, use the form below to nominate that person for the Town of Glocester Annual Volunteer Recognition Award. The nominee must be a Glocester citizen who serves on one of the town's boards or commissions. If you prefer, pick up a hard-copy Nomination Form at the Town Clerk's Office, the Glocester Manton Library, or the Harmony Library. Nominations will be accepted until August 19, 2005.

1. Complete this form
2. Click on the "Submit" button to send by email
   or print the page and mail to Town of Glocester, PO Box B, Chepachet, RI 02814

Person you are nominating:

What Board/Commission do they serve on?

What makes that person valuable to your committee (specific examples)?

Contribution that this person has made to make Glocester a better place in which to live:

Other comments:

Your name:

Must be submitted to Town Clerk by AUGUST 19, 2005.