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Step One

Neighbor Spotlight Nomination Form
Nominee Information
Certification*
1. Yes
I confirm that the nominee did not complete these actions as part of paid employment.
First Name
Last Name
Street Address
Neighborhood Association
PAC District
Email Address
Phone Number (Home)
Cell Number
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What did they do?
Please be as specific as possible.
1. What specific actions has the nominee performed during the current calendar year to merit this award? Where did the specific action take place in Durham?
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How did these actions impact the community?
The next questions focus on the impact this resident has had through the actions listed above. All questions may not apply. Please be as specific as possible.
1. How did this resident’s actions increase involvement from other residents?
Examples: Bring other residents to meetings; encourage them to join in planning of events and projects; outreach to new residents to ensure they are informed about initiatives and events.
2. How did this resident’s actions improve the safety and security of their community?
Examples: Neighborhood watch, active in HOA or Neighborhood Association.
3. How did this resident’s actions connect residents with community and supportive services?
Examples: Housing support, youth programs, job programs, etc.
4. How did this resident’s actions improve other parts of the community’s quality of life not already mentioned above?
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Nominator Information
Your information (so selection committee can follow up with you)
First Name
Last Name
Address
Neighborhood Association
PAC District
Email Address
Phone Number (Home)
Cell Number

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