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Nomination Form


Citizen Spotlight recognizes individuals who are making a contribution to public health in Cambridge.

Examples:

  • A parent who starts a school gardening program
  • A group of co-workers who succeed in exercising regularly together
  • A professor who offers his expertise on insect-borne diseases

I would like to nominate*:

Does the nominee live in Cambridge?*

Yes No

Does the nominee work in Cambridge?*

Yes No

Nominee’s address*  

City*

State*

Zip Code

Phone number*

Email (optional)

Please tell us why the person you have nominated should be featured in Citizen Spotlight (50 to 300 words).*



Your name*

Your phone number*  

Your email*

 

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Cambridge Health Alliance | City of Cambridge
Cambridge Public Health Department
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