Good Neighbor Award

2. Do you have a neighbor who volunteers when no one else will, lends a helping hand without being asked, whose efforts both large and small make Worthington a better place to live?  Please take time to nominate them for the Good Neighbor Award.  Individuals who make our neighborhoods and our community such a special place to live often go about their good deeds without any special recognition. 

   This year, nominations will be accepted in two categories: Adult (age 18 or over) and Youth (under age 18). All nominees must live in the City of Worthington.  The activity for which the individual is nominated may not be part of paid employment or a required school activity.  All nominees should exemplify a good neighbor. Nominations forms must be submitted by December 31, 2023.

4. Category*

   Please select one.

   1. Adult
   2. Youth
6. Nominee's Name (First and Last)*
8. Nominee's Address (street, city, zip)*
10. Nominee's Phone Number
12. Nominee's Email Address
14. How does this nominee qualify as a Good Neighbor? (please include detailed examples) *
16. Your Name*
18. Your address (street, city, zip)*
20. Your Phone Number*
22. Your Email Address*
24. Deadline: December 31, 2023
Leave This Blank:


26. 1. Receive an email copy of this form.
27. Email address

    This field is not part of the form submission.

28. Submit Submit and Print

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