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Community Service Award Nominations

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NOMINATE ONLINE TODAY! 

The City of Belmont’s Community Service Award is designed to recognize Belmont residents who have made significant impacts on the quality of life in Belmont.  

Do you know a Belmont resident who has given significant service to the community, supported safety efforts and fostered connections in their neighborhood?  Or an individual or group who has helped distinguish Belmont as a place for a variety of sports and cultural opportunities for all ages?  Nominate someone you know who is making a difference in Belmont for the 2017 Community Service Award!

Nominees should exemplify one or more of the following:

  • Exceptional commitment to volunteerism by helping with a special project and/or ongoing activities;
  • Unselfish leadership, creativity, cooperation, and hard work in service to others;
  • Inspiration to others as a role model;
  • Exemplary leadership in civic activities.

Any individual whose volunteer efforts directly benefit the Belmont community is eligible.  Nomination forms are due by 5:00 p.m. on Wednesday, November 22nd.   The Award will be presented at the City Council Meeting on Tuesday, December 12th at 7:00 PM.

For more information about Belmont’s Community Service Award, please call the Finance Department at (650) 595-7433.

Employees of the City of Belmont are not eligible to be nominated. Individuals cannot self-nominate for this award.


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Name of Nominee:

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Nominee's Phone Number:

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Nominee's Email Address:

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Name of Person Making Nomination:

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Phone Number of Person Making Nomination:

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Email Address of Person Making Nomination:

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Please tell us how the nominee has exemplified one or more of the following:

• Exceptional commitment to volunteerism by helping with a special project and/or ongoing activities;
• Unselfish leadership, creativity, cooperation, and hard work in the service to others;
• Inspiration to others as a role model;
• Exemplary leadership in civic activities.

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Upload Photo, (if available):

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Photo Description, (if applicable):

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I am a Belmont resident:

I am a Belmont resident:
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I acknowledge I have the authorship of any photo(s) submitted with this form, and that any photo submitted is void of copyright, and any people picture therein have consented to the publication of this photo.  I allow the City of Belmont to post or publish this photo.

  1. To receive a copy of your submission, please fill out your email address below and submit.