The Mayor and Council Good Neighbor Award Program Entry Form

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Good Neighbor Award

Do you know a family member, friend or neighbor who helps to enhance your neighborhood? Maybe they have performed a good deed or provide a service that you feel deserves recognition. You can honor them with a nomination for the Good Neighbor Award.

The Good Neighbor Award recognizes the ongoing efforts of Rockville residents who are making exceptional contributions to improve the quality of life in their neighborhoods. The program is designed to honor those who make a difference in our community without seeking or receiving recognition for their service. Nominees are sought in two divisions: adult and youth.

The nominee must be a resident of the City of Rockville
The nominee must not be employed by the City of Rockville
The nominee must have made a significant contribution to their community during the current calendar year

A three person panel will select three finalists from the pool of candidates. All finalists will be honored at a special ceremony in September. Nominations must be received no later than August 1 of each year.

The Good Neighbor Award is the City’s way of recognizing the residents who are committed to preserving, maintaining and improving the quality of life in their neighborhoods and our community.

The 2009/2010 Good Neighbor Awards ceremony is scheduled for Tuesday, Oct. 5, at 7 p.m. at the Glenview Mansion at Rockville Civic Center Park, 603 Edmonston Drive.

For more information on the Good Neighbor Award, call Rocio Estrada at 240-314-8345.

Good Neighbor Award Entry Form (.pdf)

Good Neighbor Award Entry Form

Nominee's First Name*

Nominee's Last Name*

Address*

Neighborhood Assocation

E-mail

Phone

Your Information

First Name*

Last Name*

Address*

Neighborhood Assocation*

Phone

E-mail*

Describe in 400 words or less why you think the nominee deserves the Rockville Good Neighbor Award, addressing the following questions: Community Involvement What specific actions has this person performed during the current calendar year for which they merit this award? How have this person’s actions gone beyond the normal scope of citizen responsibilities? Did the nominee go to great effort or invest an exceptional amount of time in performing their actions? Benefit to Community How have this person’s actions benefited their neighborhood or the City of Rockville as a whole? What are the geographic areas (e.g., block, neighborhood, City of Rockville) and demographics (e.g. youth, elderly, all residents) of the population that benefits? Are the benefits tangible, intangible, or both? Have the person’s actions fostered self-help, quality of life, or community involvement in others? Have they contributed to environmental conservation or sustainability?

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