~ Nomination Form ~

2017 Citizen of the Year Awards Banquet

Nominations are due by 5PM on February 3, 2017

Mail to:
Myrtle Creek~Tri City Area Chamber of Commerce
P.O. Box 31
Myrtle Creek OR 97457
~ or ~ deliver to Trueblood Real Estate, 235 Second Avenue, Myrtle Creek (541-863-5777)

The Awards Banquet will be held Saturday, March 4, 2017

Check which category this nomination is for:

____ Man of the year    ____ Woman of the year    ____ Lifetime Achievement Award

____ Business of the year1    ____ Special Award2

Nominations for the Citizen of the Year Awards Banquet may be submitted using this form. Beginning in early January, a small committee of volunteers has the challenging task of reviewing and evaluating all nominations received, then selecting those individuals, groups and businesses to receive an award. Please complete this nomination form if you would like to see a particular business or individual awarded in one of the above categories and mail to Chamber at above address or drop off at Trueblood Real Estate by February 3, 2017.

(1)Only those businesses that received 'Business of the Month' in 2016 are eligible for 'Business of the Year' at the 2017 Banquet. Please see list of recipients in the Criteria for Citizen of the Year Awards at the bottom of this form.
(2)For a 'Special Award', please describe fully this individual's or group's achievements and accomplishments that warrant recognition.

Individual, Business or Group Name:

Street Address:

Nominated by:

Phone number and other contact information:

Tell us why you think this individual, business or group should receive an award for their outstanding contributions to the community.

(You may attach a page)

Criteria for Citizen of the Year Awards

Man and Woman of the Year

These awards go to individuals (one man and one woman) who have been actively involved in the community in a number of ways over the last couple of years. They may have served on a City commission or committee, on City Council, been involved in a civic organization (Elks, Lions, etc.), been available to help with community-wide events, or just been there whatever the need.

Lifetime Achievement Award

This award goes to someone who has been involved throughout his or her life and who remains active in community affairs through civic organizations.

Business of the Year

This business will be selected from one of the 12 Businesses of the Month recipients during previous year. To nominate, please select from the choices below and give a brief explanation as to why this business is deserving of this award in your opinion.

City of Myrtle Creek
Country Financial
Ed & Mo's Diner
El Azteca Mexican Family Restaurant
Goodog Bones
Homestead Furniture & Gifts
Main Street Myrtle Creek Association
Mike's Mobile DJ
Myrtle Creek Goin' Postal
Rustic Rooster Quilt Shop
Valley Tire Factory
Village Realty

Special Award

This category can be for awards that do not fit into the other groups. This award can include outstanding citizens in the education, religion, public service or any other category. Please describe fully this individual's or group's achievements and accomplishments that warrant recognition.