Governor's Center for Local Government Services
 Governor's Award for Local Government Excellence Application
  • The deadline to submit the application is December 16, 2011.
  • The online application contains no “Save” feature. Be sure to enter all content only when you are ready to complete the online application. You might wish to write your application in a separate document before you enter it. Please refer to the application guidelines. Application Guidelines PDF.
  • Note the word limits. Exceeding word limits will prevent you from submitting application.
  • Fields with * are required.
  • Please print the confirmation letter as proof of your submission.
  • Once you have submitted your application, send any accompanying documents, including two copies of photos of the program or project, two copies of photos of those responsible for the program, and a copy of your confirmation letter to:

    Award for Local Government Excellence
    Governor’s Center for Local Government Services
     Department of Community and Economic Development
    400 North Street, 4th Floor
    Harrisburg, PA 17120-0225

Community Information
Name of Applicant (county, municipality, authority, COG, or other local government entity): *
County:
Other participating local governments:

Contact Information
Prefix:  *
First Name: *
Last Name: *
Title:
Street Address: *
City, State Zip: *   *
Telephone:
(777) 777-7777		 *
Fax:
(777) 777-7777		  
E-Mail:

1. Select the theme for which you are applying. Applicants must select only one theme per application.
2. In an executive summary, explain why the nominee should receive the award. See page 6, Section II, paragraph A, 5b for additional instructions.
(150-word maximum) *    
3. Describe the achievement or project that is being submitted by your municipality (or other municipal entity) for consideration by the Center for a Governor's Award for Local Government Excellence. (500-word maximum) *
4. Describe how this project or achievement has resolved a problem, addressed a community need, and/or added value to the community-at-large. Provide quantifiable results, if available. (400-word maximum) *
5. Describe who was involved and how they participated in achieving this success (public, private, volunteers, staff, etc). (400-word maximum)  *