You may nominate a person for the Mayor’s Medal of Honor by filling out and submitting the form below or you may also print and mail in this PDF version of the form.

TO ALLOW TIME FOR THE POOL OF POTENTIAL NOMINEES TO GROW, NOMINATIONS WILL NOT BE ACCEPTED IN 2015. CHECK BACK IN 2016 TO MAKE YOUR NOMINATION.

THE NOMINATIONS WILL BE JUDGED BY LAST YEAR’S RECIPIENTS.

  • Nominee’s Background Information:

  • References

    It would be helpful if you could secure brief testimonials from those who have been affected by this Nominee’s efforts in this category. You can upload a scanned copy of the testimonial below. (Please limit to one-page per testimonial. Thank you.)
  • Accepted file types: pdf, jgp, png, doc, gif, docx, txt.
  • Accepted file types: pdf, jgp, png, doc, gif, docx, txt.
  • Accepted file types: pdf, jgp, png, doc, gif, docx, txt.
  • This field is for validation purposes and should be left unchanged.