2009 Kenneth Coon Victory Lifetime
Service Award Nominee Application

Nominee's Name:

Address: 

Telephone Numbers:

Which organization does (did) the nominee represent:

Justification for nomination:
 

Name of person submitting nomination:

Address:

Phone: Cell: Email: 

Please submit by using the "submit" button located at the bottom of this page or print and return  to the Parks and Recreation Department located at 100 Sam Ridley Parkway, Smyrna, TN 37167, during regular business hours, Monday through Friday, 8a.m. – 4:30p.m. 

For more information, contact Monty Perkins at 459-9742, X2612.  monty.perkins@townofsmyrna.org. 

The deadline for submittal of nominees is December 11th, 2009.  The selection of the winner will be determined at the December meeting of the Parks Advisory Board.  The winner of this award will be presented at the Kenneth "Coon" Victory 2008 Lifetime Service Award and Volunteer of the Year Dinner on Friday, February 19th at 6:30pm at the Smyrna Town Centre.

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