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2. The Dinwiddie County Board of Supervisors' "Citizen Spotlight" is a special recognition program designed to honor residents who have made significant, positive contributions to the community. Whether through volunteer service, leadership, acts of kindness, or other notable achievements, honorees embody the values and spirit of Dinwiddie County. Spotlight recipients are recognized during a Board of Supervisors meeting and presented with a certificate of appreciation as a public expression of the County's gratitude for their dedication and service.
4. NOMINEE INFORMATION
6. Full name of the citizens being nominated*
7. Age
9. Address*
11. City*
12. State*
13. Zip*
15. Phone number *
17. Email
19. NOMINATOR INFORMATION
21. Full name of person submitting the nomination*
22. Relationship to the Nominee*
    -- Select One --SelfParentChildSiblingGrandparentOther RelativeFriendOther
24. NOMINATION DETAILS
26. What specific contributions has the citizen made to Dinwiddie County?*
28. In what ways has the nominee demonstrated leadership, service, or civic engagement?
30. How has the nominee impacted the community or improved quality of life for others?
32. Are there specific projects, events, or initiatives the nominee has led or participated in?
34. How long has the nominee been involved in these efforts?
36. Why do you believe this citizen deserves to be spotlighted by the Board of Supervisors?*
38. Is the nominee willing and able to attend a Board of Supervisors' meeting in-person to receive his/her recognition?*

    1. Yes
    2. No
Leave This Blank:


40. 1. Receive an email copy of this form.
41. Email address

    This field is not part of the form submission.

42. Submit

* indicates a required field