Nominate an Outstanding Citizen in the Community

Representative Davis and her team want to recognize outstanding citizens in our community who go above and beyond. Too often these contributions go unseen, yet they're a key part of what makes our community thrive.

Through this form, we invite you to share the stories of those whose dedication—whether through volunteer work, community leadership, or quiet acts of service—deserves to be celebrated. By highlighting their efforts, we hope to inspire others and shine a light on their positive impact.

Nominee's first and last name: *

Nominee’s Township of Residence (Bristol Borough or Bristol Township): *

How did this nominee make a difference? *

Does the nominee know you are nominating them? *

Yes No

Do you request a social media post honoring the nominee? *

Yes No

Are you requesting Rep. Davis's presence at a citation event honoring the nominee? If yes, please provide the event's expected date and time in the comments box. *

Yes No

Comments:

Form point of contact (Your name and contact information) :

Full Name:* First Name:*

Last Name:*

Email Address: *Email: *

Phone Number: *Phone: *

Address: *

City: *

State: *

Zip Code: *

Additional questions or comments: