Form Center

2. The recipient of the IMPACT award is one (department or individual) who has displayed innovation and demonstrated the ability to think outside the box, resulting in an impact that is felt across the City. Nominations can cross departmental lines; please nominate an employee or department that you feel has been especially creative and resourceful.
4. Name of Nominee*
6. Department *
8. Nominee’s activities or accomplishments that have impacted the City (either within the department or across multiple departments).*
10. Any other information you would like to include about your nominee?
12. Nominated by*
14. 
Leave This Blank:


16. 1. Receive an email copy of this form.
17. Email address

    This field is not part of the form submission.

18. Submit

* indicates a required field