This award is presented to an individual in recognition to their contributions to the community in the past year. This award's recipient's dedication to the community and civic projects has made Tualatin a better place to live; whose leadership and example has inspired others to exceed their own limitations and accomplish more than they thought possible.

Name of Nominee*

Nominee's Business Name (if any)*

Nominee's Phone Number*

Nominee's Email Address*

Please tell us why you are nominating this individual or business. If applicable please list any of the organizations and community projects in which the nominee has participated in recent years. If relevant, include any board and/or chair positions held. You may attach a separate sheet if necessary.

Nominated by*

Email address*

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