SIXTEENTH ANNUAL
Jacqueline B. Nixon
Community Service Award
The Groton Utilities Community Service Award has been created to honor a member of our
community who has contributed his or her time, energy, and resources to make the community a better
place in which to live and work. The following criteria have been established for this award, which will be
presented at City of Groton Day 2019 on August 2nd at Washington Park:
The candidate should reside in Greater Groton, including the City, the Town, and any
of the subdivisions or fire districts.
The candidate should exemplify all the qualities suggested by Groton Utilities’ slogan,
“Giving Back to the Community”.
The candidate should have demonstrated service-like qualities such as generosity,
commitment, dedication, and unselfishness.
The candidate should have demonstrated dramatically that he or she has contributed
freely his or her time, energy, and resources to make the community a better place in
which to live and work.
Nomination Form
Name of Nominee ____________________________________________________________________
Address ____________________________________________________________________________
City ________________________________________________ Zip ______________________
Explain in detail all those qualities of the nominee that you consider most important and
reflect the spirit of his or her having given back to the community, citing specific examples
to support your claim. If more space is required, please attach an additional sheet of paper.
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Nominated by _________________________________________________________________
Address ______________________________________________________________________
City____________________________________________ Zip___________________________
Telephone _________________________ Cell Phone _______________________________
E-mail ____________________________ Fax _____________________________________
Nomination forms may be mailed to the address below or dropped off at the Groton Utilities
Customer Service desk in the Municipal Building, 295 Meridian Street, Groton.
Deadline for nominations: June 28, 2019
Groton Utilities
Community Service Award Committee
295 Meridian Street
Groton, CT 06340
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