Golden Rule Citizens Nomination Form

Home

About the Governor
Governor Brewer's Bio
Governor Brewer Portrait Photo

Offices & Appointments
Governor's Office Staff
Offices of the Governor
Task Forces, Councils, Boards...

Media Room
Press Releases
Executive Orders
Other Media Items..

Arizona Spotlight
Arizona's Official State Balladeer
Arizona Travel Guide
Do Business in Arizona
AZ.GOV

Arizona Kids Page
Coloring Book
State Facts
Word Game
View more fun stuff...

Constituent Services

Apply for a Board or Comm.

Golden Rule Citizens Nomination Form

Text Size: A | A

Email Link

As a Golden Rule state, I am pleased to present a program that positively recognizes those who “treat others the way you would like to be treated” and who make a difference in Arizona. By using the form below, you can nominate an Arizona resident as an Arizona Golden Rule Citizen! Please nominate people who practice the Golden Rule and my office will mail you an Arizona Golden Rule Citizen Certificate that you can present to the person whom you nominated.

Click here to read the Golden Rule Senate Concurrent Resolution

Feel free to contact my office for more information.

JANICE K. BREWER
Arizona Governor

The Nomination Form:
Here's how it works. Simply fill out the form below and tell us why you want to nominate a person as an Arizona Golden Rule Citizen. Once the information is verified (our office may contact you), a certificate will be mailed to you to present to the nominee.

* Required Information

Below is the information we need about You.

Your First Name:

A value is required.*

Your Last Name:

A value is required.*

Your Email:

Invalid e-mail format.

Your Telephone #:

A value is required.Invalid format.*

Your Address:

A value is required.*

Your City:

A value is required.*

Your State:

Your Zip:

A value is required.Invalid format.*

Below is the information we need for the Golden Rule Citizen.

Nominee's First Name:

A value is required.*

Nominee's Last Name:

A value is required.*

Briefly describe why you are nominating this person to be an Arizona Golden Rule Citizen?

Please double check your spelling. This is how it will appear on the Golden Rule Certificate.

Incorrect code! Please view the numbers in the verification code image above or listen to the audio code and try again.

Code Verification: Please type the numbers you see to the left or hear in the audio clip into the Verify Code text field. This ensures that a person, not an automated program, fills out this form.

Verification Code: