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FALMOUTH CHAMBER OF COMMERCE
                    2011 CITIZEN OF THE YEAR AWARD
 The Outstanding Citizen of the Year should be someone who has made a lasting impact on
 the Falmouth Community. Join us in nominating residents of Falmouth for recognition
 and appreciation. The entry form is on the reverse side of this flyer. The following
 criteria should be taken into account when nominations are made.
 All Entries must be received no later than March 31, 2011.
 1. Nominees must live in the Town of Falmouth and his/her activities should be centered
 here.
 2. Recognition will be given for leadership and performance for work done above and
 beyond his/her paid profession.
 3. The individual recognized does not need to be a member of the Falmouth Chamber of
 Commerce.
 4. There are no requirements or restrictions relating to gender, age, race, religion or ethnic
 background.
 5. The nominee should have participated in a broad scope of activities over the course of
 more than one year. This is not an award for a single activity no matter how well it was
 executed.
 6. The award will not be given posthumously.
 For your information past recipients are:
       1979 Manuel Rapoza                         1995 Arthur Ratsy
       1980 Marguarite “Rita” Kendall             1996 Vicki Lowell
       1981 Josiah K. Lilly, III                  1997 Arthur D. Calfee
       1982 Helen Sullivan                        1998 Kitty Baker
       1983 Edwin Tripp, M.D.                     1999 Bruce S. MacKilligan
       1984 Robert Antonucci                      2000 John V. Magnani
       1985 George Souza                          2001 E. Joel Peterson
       1986 Walter Carlson                        2002 Andy Dufresne
       1987 Eileene Finnell                       2003 Margaret Gifford
       1988 Dr. Langdon Burwell                   2004 Wilson Smith
       1989 Frank L. Nickerson                    2005 Mary K. Bishop
       1990 George DeMello                        2006 Samuel A. Lorusso
       1991 Henry G. Behrens                      2007 Margaret Hough Russell
       1992 Marina Andrews                        2008 Robert W. Griffin Sr.
       1993 Arnold W. Dyer                        2009 Tommy Leonard
       1994 Larry M. McCarthy                     2010 Erik Turkington

PLEASE SEND NOMINATIONS TO: Falmouth Chamber of Commerce Citizen of the Year
 Selection Committee, 20 Academy Lane, Falmouth, MA 02540 or via fax to 508-548-8521.
                  DEADLINE FOR SUBMISSION, March 31, 2011.
FALMOUTH CHAMBER OF COMMERCE
                       2011 CITIZEN OF THE YEAR ENTRY FORM

I wish to submit the name of ___________________________________________
for your consideration as the 2011 recipient of the Citizen of the Year Award. I understand
your evaluation of my suggestion will be based on the completeness of the information included
below.

I submit this individual and his/her qualifications as deserving of this award because of his/her
substantial contributions in the following area or areas: Leadership, Civic Affairs, Government
Affairs, Brotherhood, Religious Activities, Charitable and Non-Profit Programs, Business
Development, Educational Programs and Institutions or Other Reasons.

Area/Areas:___________________________________________________________________
_____________________________________________________________________________
_____________________________________________________________________________
_____________________________________________________________________________
_____________________________________________________________________________
_____________________________________________________________________________
_____________________________________________________________________________
_____________________________________________________________________________
_____________________________________________________________________________
_____________________________________________________________________________
_____________________________________________________________________________
_____________________________________________________________________________
_____________________________________________________________________________
_____________________________________________________________________________
_____________________________________________________________________________
_____________________________________________________________________________
_____________________________________________________________________________


Please feel free to attached additional information to this form.



________________________________________________                    _____________
Signature of individual submitting candidate for consideration          Date

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Falmouth, MA 2011 Citizen of the Year Nomination form

  • 1. FALMOUTH CHAMBER OF COMMERCE 2011 CITIZEN OF THE YEAR AWARD The Outstanding Citizen of the Year should be someone who has made a lasting impact on the Falmouth Community. Join us in nominating residents of Falmouth for recognition and appreciation. The entry form is on the reverse side of this flyer. The following criteria should be taken into account when nominations are made. All Entries must be received no later than March 31, 2011. 1. Nominees must live in the Town of Falmouth and his/her activities should be centered here. 2. Recognition will be given for leadership and performance for work done above and beyond his/her paid profession. 3. The individual recognized does not need to be a member of the Falmouth Chamber of Commerce. 4. There are no requirements or restrictions relating to gender, age, race, religion or ethnic background. 5. The nominee should have participated in a broad scope of activities over the course of more than one year. This is not an award for a single activity no matter how well it was executed. 6. The award will not be given posthumously. For your information past recipients are: 1979 Manuel Rapoza 1995 Arthur Ratsy 1980 Marguarite “Rita” Kendall 1996 Vicki Lowell 1981 Josiah K. Lilly, III 1997 Arthur D. Calfee 1982 Helen Sullivan 1998 Kitty Baker 1983 Edwin Tripp, M.D. 1999 Bruce S. MacKilligan 1984 Robert Antonucci 2000 John V. Magnani 1985 George Souza 2001 E. Joel Peterson 1986 Walter Carlson 2002 Andy Dufresne 1987 Eileene Finnell 2003 Margaret Gifford 1988 Dr. Langdon Burwell 2004 Wilson Smith 1989 Frank L. Nickerson 2005 Mary K. Bishop 1990 George DeMello 2006 Samuel A. Lorusso 1991 Henry G. Behrens 2007 Margaret Hough Russell 1992 Marina Andrews 2008 Robert W. Griffin Sr. 1993 Arnold W. Dyer 2009 Tommy Leonard 1994 Larry M. McCarthy 2010 Erik Turkington PLEASE SEND NOMINATIONS TO: Falmouth Chamber of Commerce Citizen of the Year Selection Committee, 20 Academy Lane, Falmouth, MA 02540 or via fax to 508-548-8521. DEADLINE FOR SUBMISSION, March 31, 2011.
  • 2. FALMOUTH CHAMBER OF COMMERCE 2011 CITIZEN OF THE YEAR ENTRY FORM I wish to submit the name of ___________________________________________ for your consideration as the 2011 recipient of the Citizen of the Year Award. I understand your evaluation of my suggestion will be based on the completeness of the information included below. I submit this individual and his/her qualifications as deserving of this award because of his/her substantial contributions in the following area or areas: Leadership, Civic Affairs, Government Affairs, Brotherhood, Religious Activities, Charitable and Non-Profit Programs, Business Development, Educational Programs and Institutions or Other Reasons. Area/Areas:___________________________________________________________________ _____________________________________________________________________________ _____________________________________________________________________________ _____________________________________________________________________________ _____________________________________________________________________________ _____________________________________________________________________________ _____________________________________________________________________________ _____________________________________________________________________________ _____________________________________________________________________________ _____________________________________________________________________________ _____________________________________________________________________________ _____________________________________________________________________________ _____________________________________________________________________________ _____________________________________________________________________________ _____________________________________________________________________________ _____________________________________________________________________________ _____________________________________________________________________________ Please feel free to attached additional information to this form. ________________________________________________ _____________ Signature of individual submitting candidate for consideration Date