Departments & Services > First Selectwoman's Office > Fairfielder of the Year Award Nomination Form

Fairfielder of the Year Award Nomination Form

2019 Submission Deadline:  Noon on Friday, November 15th

The primary criteria for consideration are personal time, energy and talent of service to the residents of Fairfield, and/or society in general, that promotes betterment of life in our town. Such criteria includes, but is not limited to:

  • Outstanding volunteer commitment that benefits an individual, group or the entire community of Fairfield
  • Unique achievement that benefits our community or society in general
  • Model citizen who reflects the positive values of the Town of Fairfield
  • Exceptional personal qualities, including, but not limited to leadership, initiative, reliability/dependability, integrity, cooperation and spirit.

For background information, including a history of previous recipients, go to

Nominee Information

Please provide information about the person you would like to nominate for Fairfielder of the Year. The person must be a Fairfield resident.

Nominated By

Please provide your contact information. If your nominee is selected you will be contacted.

Nomination Summary

Please provide a brief summary of the efforts and achievements of this nominee. You may upload your nomination summary as a document or type it in directly.

Additional Information