2020 Port Hope Civic Awards Nomination Form

Please ensure all informtion submitted is complete an accurate, inlcuding spelling of names and addresses. The Civic Awards Committee is only able to use the information provided in the application to determine if the nominee is eligible to receive an award.

If you have questions about the nomination form, please contact civicawards@porthope.ca or call 905-885-7908.

List three (3) qualities that describe your nominee:

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