opens in a new windowMiddle Matters Nomination Form

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Executive Summary

The Township of Middle is establishing a civic recognition program called the "Middle Matters Award" to recognize local residents for their contributions to the community. This program complements existing employee and volunteer recognition initiatives, allowing residents to publicly acknowledge their neighbors for praiseworthy acts. Nominations require the nominee's contact information, details of the activity within the last 30 days, and the nominator's information. Completed forms should be returned to the Office of the Township Clerk at 33 Mechanic Street, CMCH, NJ 08210.

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--- Document: opens in a new windowMiddle Matters Nomination Form Document ---
 
Township of Middle 
“Middle Matters Civic Recognition Program” 
 
In an effort to recognize local residents for their wide variety of endeavors towards building a better 
Middle Township, the Township of Middle hereby establishes a new civic recognition program entitled 
the “Middle Matters Award.” 
 
The Middle Matters Awards will complement the Township’s existing Employee of the Month and 
Volunteer Recognition programs, and will provide residents with the ability to publicly recognize their 
neighbors for praiseworthy acts. 
_______________________________________________________ 
 
 
Today’s Date: ___/___/___ Name of Local Resident /Nominee: ___________________ 
 
Resident/ Nominee Contact Information (Please include mailing address or telephone number so 
that we may reach them directly): __________________________________________________ 
 
______________________________________________________________________________ 
 
 
These activities must have occurred within the last 30 days.  
 
Date of activity/event: _________________  
 
Please describe the nominee’s action that you would like to publicly recognize. Include as much 
specific information as possible. Please feel free to attach any additional information to this 
nomination form, if needed:  
 
_____________________________________________________________________________ 
_____________________________________________________________________________ 
_____________________________________________________________________________ 
Your Name:__________________________ Phone Number: (_____)____________ 
Your Mailing Address: _____________________________________________ 
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Please Return Form to: 
Office of the Township Clerk 
33 Mechanic Street 
CMCH, NJ 08210 
(609) 465-8721 
mtclerk@middletownship.com