Nominate a Student
Mayor Recognition Award

To nominate a student for the Mayor Recognition Award, please fill out and submit the form below.

If you have any questions, please call (801) 491-7823.

Name of Person Nominating Student*
First Last
Phone of Person Nominating Student*
Email of Person Nominating Student*
Relationship to Student
Name of Student*
First Last
Name of Student's School
Student's Grade Level*
Mother's Name/Guardian's Name*
First Last
Father's Name/Guardian's Name*
First Last
Mother's Address/Guardian's Address
Street Address Address Line 2 City State ZIP Code
Father's Address
- Same as above address
- Different Address (fill in information below)
Father's Address/Guardian's Address
Street Address Address Line 2 City State ZIP Code
Mother's/Guardian's Phone
Father's/Guardian's Phone
Mother's/Guardian's Email
Father's/Guardian's Email
Please briefly describe how this student has been a positive influence in their school and/or community*
Other comments:
Please enter security code