Skip to Main Content
Covid 19 Information
Phase 1 - Opening City Public Buildings
Read On...
Living & Visiting
Services
Business
Government
How Do I...
Home
Form Center
Form Center
Search Forms:
Search Forms
Select a Category
All Categories
Administration
Building Inspections
Get Involved
Parks & Recreation
Planning
Police Department
Utility Billing & Collections
By
signing in or creating an account
, some fields will auto-populate with your information and your submitted forms will be saved and accessible to you.
Sign in to Save Progress
The Spirit of Bentonville Award
This form has been modified since it was saved. Please review all fields before submitting.
Nominee Information
First Name
*
Last Name
*
Address
*
City
*
State
*
Zip Code
*
Home / Cell Phone
*
Email Address
*
Nominator Information
First Name
*
Last Name
*
Address
*
City
*
State
*
Zip Code
Home / Cell Phone Number
*
Email Address
*
Nomination Recommendation
Please tell us why you are nominating this person?
*
Date
*
Date
Leave This Blank:
Receive an email copy of this form.
Email address
This field is not part of the form submission.
Submit
Submit and Print
* indicates a required field
Arrow Left
Arrow Right
[]
Slideshow Left Arrow
Slideshow Right Arrow