City of Renton
Outstanding Citizens Nomination Form

Do you know someone who promotes and supports Renton?  Someone who is dedicated
to making the Renton community a great place to live, work, play and learn? 
This is your chance to recognize that special person. 



Nominee's phone/contact Information:
Nominee's Email address:
My name:
My E-mail:*
My phone/contact information:* (include area code)
Alternate Phone:  (include area code)

What activities, organizations, or leadership roles has this individual been involved in and why do they deserve this honor? (Limit 1000 characters)


Give examples of how this individual has provided exceptional service to the Renton Community. (Limit 1000 characters)



* Required fields