Cohoes Caretakers 
Hall of Fame 
Lifetime Achievement Award
On-Line Nomination Form

Each year the Cohoes Caretakers Honor individuals that have made or are making a difference in the City of Cohoes. the nominee should be an individual who in your opinion over their lifetime has made that extra effort to make our city a better place to live. Please nominate only one person per form (click here for guidelines)

Please provide name of nominee:

Name

Briefly explain this individual's contribution to the city or it's people. How did this individual make an impact on the city? (Attach additional information if needed)


Please provide the following contact information:

Name
Organization
Home Phone
E-mail

Would you like to meet personally with the committee ... ?

Yes No

If you need help completing the form, or have any questions call Linda Tremblay, President, at 235-4311 or email: etrembl1@nycap.rr.com

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Copyright © 2000 [Cohoes Caretakers, Inc.]. All rights reserved.
Revised: March 04, 2003

Send mail to b4cohoes@nycap.rr.com with questions or comments about this web site. Last modified: March 04, 2003 "Cohoes Caretakers, Inc."