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Community Builder Award Nomination Form

Please fill out the below information to submit a nominee for consideration.

Your Contact Information

First Name

Last Name

Home Address

Phone

Nominee's Contact Information

First Name

Last Name

Home Address

Phone

Your relationship/affiliation with the nominee

What are the nominee's accomplishments or involvement in the City of Cambridge?

How has the nominee contributed to and made a positive impact in the City of Cambridge?

A short bio (maximum 350 words) of the nominee's outstanding achievement, contributions, and characteristics.

Minimum of one (1) and a maximum of five (5) letters of support

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Allowed extensions pdf, doc, docx, jpg, jpeg, gif, png, tif

Personal information in relation to this process is collected under the authority outlined in the Municipal Freedom of Information and Protection of Privacy Act. This information will be used only for the purpose for which it is intended. If you have any questions regarding this collection of personal information, you can contact the Freedom of Information and Privacy Coordinator, who can be reached through the Clerk’s Office at (519) 740-4680. Ext 4583.

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Quick Links

Community Builder Award Nomination Form

Please fill out the below information to submit a nominee for consideration.

Your Contact Information

Nominee's Contact Information