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2. First Name*
3. Last Name*
5. Phone Number*
6. Email*
8. What individual or group are you wanting to recognize?*
10. Has this achievement been previously recognized by the Bismarck City Commission?*

    1. No, this is a first request.
    2. No, it was previously submitted, but was not selected.
    3. Yes, it was previously recognized.
    4. I'm not sure.
12. Additional explanation.
14. Please provide verification of the achievement or the achievement's authenticity. *
16. Provide a photo of the of the achievement's authenticity.
18. Please provide at least 500 words explaining what distinguishes this person/group for recognition. *
20. At what meeting did you want this person or group recognized? *
22. Will you have someone attend that meeting for a photo opportunity?*

    1. No
    2. Yes
24. Would you like a social media post recognizing this achievement?*

    1. No
    2. Yes
Leave This Blank:


26. 1. Receive an email copy of this form.
27. Email address

    This field is not part of the form submission.

28. Submit

* indicates a required field