Nomination Form Nominator Information Nominator Name* Organization (if applicable)* Address 1* Address 2 City* State* Email* Phone* Information for Consideration Identify as many organizations that are involved in this initiative Name of the Initiative/Partnership* Organization 1 Organization 2 Please indicate other organizations Name and contact information for person for this initiative Name* Address 1* Address 2 City* State* Email Phone* If a partnership, name the contact for the other organization in the partnership Name* Address 1* Address 2 City* State* Email Phone* Describe the initiative/effort being nominated. How has this benefited the Eagan community? How many people have been involved and in what way(s)? How has this initiative been exemplary? Select one category that best reflects the candidate’s excellence. (The selection committee reserves the right to reassign nominees to an award category other than those indicated below.) Aging in Place Initiative Volunteer Initiative Hungry Neighbors Initiative Wellness Initiative Youth initiatives with education and business connections Partnership with early childhood readiness initiatives or other educational efforts Briefly explain why you are choosing this category for this nominee. Any additional information about this nomination. (Clicking “Send” opens an email and allows you to review your information.)