NOMINATION FOR MAYOR’S TROPHY – City of Goldsboro

NOMINATION FOR MAYOR’S TROPHYLaToya Henry2021-09-23T17:02:20-04:00

NOMINATION FOR MAYOR’S TROPHY

An individual or organization that has made significant contributions in support of persons with disabilities.

Deadline: Friday, October 8, 2021 by 5:00 p.m.

1. Nominee's Name:
2. Home Address:
Street Address Address Line 2 City State ZIP Code
3. Business Address:
Street Address Address Line 2 City State ZIP Code
4. Home Phone:
5. Business Phone:
6. Briefly describe significant contributions made to enhance the quality of life for disabled persons and to promote public awareness and understanding relative to their plights.
Submitted by:
Date