City of Rancho Palos Verdes

2. 

4. Mayor Ferraro would like to honor RPV residents and nonprofits making a difference locally and beyond.

   Please fill out this application if you would like to be honored or would like to nominate a resident or organization. Please provide the contact information of the individual/organization as well as a brief bio so we may prepare a certificate. Staff will coordinate a date for a formal presentation of the certificate by Mayor Ferraro at a future City Council meeting.

6. Honoree Information
8. Full Name and/or Organization
9. Address and City
11. Phone*
12. Email
14. Honoree Biography / Accomplishments*

    Please provide a brief bio with a list notable achievements of the resident/organization honoree.

16. Who is Making the Nomination?

    1. Self
    2. Sponsor
20. Sponsor Information (Only Required if Sponsor is Selected)
22. Full Name
24. Relationship to Nominee
26. Address and City
28. Phone*
29. Email
33. Please feel free to upload bio or any other supporting documents.
Leave This Blank:


37. 1. Receive an email copy of this form.
38. Email address

    This field is not part of the form submission.

39. Submit

* indicates a required field