To submit this form via hard copy please fill out and return to:
City Hall150 Dexter CourtElgin, IL 60120Attn: Barb Keselica
All Awards will be posthumous. Individuals must be deceased at least 10 years to be considered.
You will be notified by mid-November if your nominee has been selected.
Please identify your nominee’s connection. (Check all that apply)
(Check all that apply)
Individuals should have made significant contributions in the following categories:
Professional Architecture: The category will honor an architect who has created an exceptional building or public space.
Communications: This category will recognize any person who has made an impact within the communications
field – authors, broadcast journalists, filmmakers, print journalists or the like.
Education: This category will honor an individual who has made a significant impact as a teacher, principal or
administrator or has succeeded in providing greater access to education for all.
The Arts: This category will recognize an individual who has made a significant impact in the performing or visual arts.
Science/Medicine: This category will recognize an individual who has had a significant impact within the field
of science or medicine.
Government: This category will honor an individual who has made a significant impact as a Council or staff person within the City of Elgin government or as a representative or
senator in state or federal government.
Military Service: This category will honor an individual who has made a significant impact while serving as a member of any branch of the United States military.
Volunteerism/Public Service: This category will recognize an individual who has donated an extraordinary amount of time and
effort to help promote a worthy cause inside or outside of Elgin.
Business: This category will honor an individual who has established a positive commercial or industrial entity inside or outside of Elgin.
Please write a brief summary (no more than 600 characters) as to why your nominee should be considered for this award.
Recognition and awards will be given to individuals not foundations or other not-for-profit groups.
This field is not part of the form submission.
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