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2. This form must be filled out by a Council member or Council staff for Council leadership approval.
4. Your Name
5. Date Request Submitted
   Date Request Submitted
7. Type of Recognition Requested

   1. Resolution - Recognizes the collective efforts of an individual, group or organization
   2. Proclamation - Designates the focus of a specific day, week or month in Ogden City
   3. Citizen Recognition Award - Notes the contributions of an individual, group or organization, for either a long-standing contribution or a specific act within 12 months of the recognition
9. Name of Group or Individual Requested to be Recognized
11. Contact Name
12. Contact Phone Number
13. Contact Email
15. Purpose of the Recognition
17. Background Information
19. Recognition Criteria Met

    1. Significant contribution to residents and/or the local community
    2. Receipt of state or national recogntion
    3. Exemplify a strong sense of volunteerism, civic pride and/ or commitment to bettering the community
    4. Celebrate a notable anniversary or historic event

    Select all that apply.
21. Additional Notes
22. 
Leave This Blank:


24. 1. Receive an email copy of this form.
25. Email address

    This field is not part of the form submission.

26. Submit Submit and Print

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