Annual Dinner Awards

Chamber Award Nomination Form

The Excelsior Springs Chamber of Commerce thanks you for your interest in nominating a business or individual for a Chamber of Commerce Award. Nomination deadline is April 2, 2018.

Click here for a list of past award recipients.

Award Nomination: Please indicate the award for which you are nominating the individual or company. Please read details of criteria for each award at right. You may submit forms for more than one category.

Your Contact Information

Citizen of the YearsCitizen of the YearChamber Member of the YearVolunteer of the YearSpecial Recognition

Your Name (required)

Your Address

Your City

Your Phone (required)

Your Email (required)

Nominee Description

This section will be used to describe the individual(s) that you have nominated for an award. Tailor your responses to the questions listed below to include as much specific information as possible. This will greatly assist the judges when they review your nomination.

Name(s) (required)

Address (required)

City (required)

Contact Name (required)

Contact Title

Contact Phone (required)

Why have you chosen your nominee for recognition?
Describe the individual(s) you have nominated, and the key reasons you have chosen to nominate this individual(s). Please use as much space as necessary.

Why have you chosen your nominee for recognition? (required)

How has this business met the criteria for the award?
Please refer to the specific criteria of each award which can be found on this page at right.

How has this individual(s) met the criteria for the award? (required)

Is there any additional information you feel should be added?

Additional Information