South Dakota Municipalities - July/Aug 2021

Page 7

2021 SDML EXCELLENCE IN MUNICIPAL GOVERNMENT AWARD Official Nomination Form

EXCELLENCE

in South Dakota Municipal Government 2021

ELECTED OFFICIAL

This year, the Excellence in South Dakota Municipal Government award will be presented to a elected official in South Dakota. The award recipient will be selected from nominations received by the South Dakota Municipal League Past Presidents’ Committee. All nominations must be submitted in writing by August 15, 2021. The award will be presented at the SDML Annual Conference in Spearfish on October 7, 2021. Name of Nominee: ____________________________ Title: _______________________________ Address of Nominee: ______________________________________________________________

Significant contributions to the municipality: ____________________________________________

________________________________________________________________________________ ________________________________________________________________________________ ________________________________________________________________________________

Significant contributions to the community: _____________________________________________

________________________________________________________________________________ ________________________________________________________________________________ ________________________________________________________________________________ Significant contributions to other organizations: _________________________________________

________________________________________________________________________________ ________________________________________________________________________________ ________________________________________________________________________________

Significant contributions to South Dakota Municipal Government: ___________________________ ________________________________________________________________________________ ________________________________________________________________________________ ________________________________________________________________________________ Other Comments: _________________________________________________________________

________________________________________________________________________________ ________________________________________________________________________________

Submitted by: _________________________________ Phone: ____________________________ DEADLINE: August 15, 2021 Please submit to: South Dakota Municipal League Nominations are confidential. 208 Island Drive, Ft. Pierre, SD 57532 Additional supporting documents welcome. FAX to 605-224-8655


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South Dakota Municipalities - July/Aug 2021 by South Dakota Municipal League - Issuu