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2. The New York State Town Clerk’s Association will honor one of its members who has exhibited a high degree of professionalism in her/his office and who has contributed toward the NYSTCA purpose of promoting the educational and professional development of Town Clerks. One clerk will be chosen and given the prestigious honor of ‘New York State Town Clerk of the Year’.

   To submit a nomination: Start by completing this form, upload the additional pages of information, supporting letters, and documents.

   Please Note: Executive Committee Members (President, Vice Presidents, Secretary, Treasurer, Ex-Officio, & District Directors) are not eligible. Any clerk is eligible, EXCEPT those who have been named and awarded ‘New York State Town Clerk of the Year’. You may not nominate yourself.

   Minimum Qualifications: 

   Must have held office of Town Clerk for at least 10 years

   NYSTCA member for at least five (5) consecutive years

   Shows personal and professional development demonstrated through participation in NYSTCA Annual Conferences, Regional Meetings, RMC Certification, local county association; IIMC programs, college courses, etc.

   Any questions should be submitted to the Clerk of the Year Committee. 

4. Name of Nominee
5. Town
6. County
8. Mailing Address
10. Telephone
11. Email
12. Town Population
14. Number of Years as Town Clerk
15. Number of Years as NYSTCA Member
16. District Number
18. Nominee Information

    1. Tax Collector/Receiver
    2. Notary Public
    3. Records Management Officer
    4. NYS Conservation License Agent

    1. Marriage Officer
    2. Registrar
    3. Passport Accepting Agent

    1. School Tax Collector
    2. Register Municipal Clerk
    3. Member of IIMC

    1. Certified Municipal Clerk
    2. Master Municipal Clerk
    3. Attended NYSTCA Conferences

    Check all that apply to your nominee.  

20. Is the nominee a member of the local County Association of Town Clerks?

    If yes, please give the name of the association.

22. Why do you believe your nominee should receive the NYS Town Clerk of the Year Award?

    Please use extra pages to talk specifically about your nominee’s qualifications, accomplishments, talents, professionalism, etc. Attention should be given to the following:

    ➢ Nominee’s involvement in NYSTCA, list all officer positions held and all committees served on.

    ➢ Nominee’s involvement in local County Association of Town Clerks, list all officer positions held, and all committees served/serving on, etc.

    ➢ Nominee’s involvement in IIMC or other municipal or government organizations

    ➢ Outstanding service to nominee’s local government, neighboring towns, county, or state

    ➢ Community organizations, involvement, and service

    ➢ Education, degrees, certificates, awards

    ➢ Any other information which shows your nominee to be the best choice for this award

24. Additional Documentation

    Provide supporting letters from other clerks, town/ county, state officials, community leaders, heads of organizations and ask they state specific information about your nominee. Provide any additional documents you feel are important, including, but not limited to newspaper articles and pictures.

    Be Specific! For example, do not say “she is always helping in the community.” Be detailed and say something like, “she volunteers every other Saturday to sort, box, and distribute food at the local food bank”, then get a letter from whoever is in charge to support this.

26. Nomination Form Submitted By:
28. Name
29. Town
30. County
32. Address
34. Telephone
35. Email
36. Fax
Leave This Blank:


38. 1. Receive an email copy of this form.
39. Email address

    This field is not part of the form submission.

40. Submit

* indicates a required field