P.O. Box 632
461 S. Thompson Ave.
Excelsior Springs, MO 64024
Phone 816-630-6161

Office Hours: 9 a.m. - 4 p.m.

Chamber Award Nomination Form

The Excelsior Springs Chamber of Commerce thanks you for your interest in nominating a business or individual for a Chamber of Commerce Award. Nomination deadline is April 1, 2016.

Click here for a list of past award recipients.

Award Nomination: Please indicate the award for which you are nominating the individual or company. Please click on "criteria" for full details of criteria for each award. You may submit forms for more than one category.

Citizen of the Years - criteria
Citizen of the Year - criteria
Chamber Member of the Year - criteria
Volunteer of the Year - criteria
Special Recognition - criteria

Your Contact Information





Email Address

Nominee Description:

This section will be used to describe the individual(s) that you have nominated for an award. Tailor your reponses to the questions listed below to include as much specific information as possible. This will greatly assist the judges when they review your nomination.




Contact Name

Contact Title


Why have you chosen your nominee for recognition?
Describe the individual(s) you have nominated, and the key reasons you have chosen to nominate this individual(s). Please use as much space as necessary.

How has this individual(s) met the criteria for the award?
Please refer to the specific criteria of each award which can be found by "criteria" beside the award choice above.

Is there any additional information you feel should be added?

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