Public Policy Forum

Nomination Form
"Salute to Local Government" Awards

Norman N. Gill Award
Individual excellence or innovation in local government or a school district
by a non-elected official through everyday administration of services or programs.

Individual nominated:

Government agency:

Title:
Address:

e-mail:

Phone:

Breifly describe what makes this person worthy of winning this award.
(Use as much space as you would like. The box will expand as you write.)
· Describe and document nominee’s contributions,
including innovative techniques, cost savings, or program improvements.
· Describe individual’s work and how it benefits the community.

Submitted by:
Organization:

e-mail:

Phone:

When you click "submit" your nomination will be
processed and you will be directed back to the
previous page to enter another nomination or to exit.