Form Center

2. Description
   Our citizens are what make Roeland Park great. We want to meet them and bring our City together by introducing neighbors to one another. Submit a recommendation for a local family or resident to be featured in our Resident Spotlight section of the Roeland Parker and our City website by completing this form.
4. Nominator's Information
6. First Name
7. Last Name
9. Phone Number
11. Email Address
15. Resident/Family to be Featured
17. Resident's Full Name*
    If nominating a family use the full name of one member here.
18. Email Address
20. Address
22. City
23. Phone Number
25. How long have the individual(s) lived in Roeland Park?
    -- Select One --One year or lessTwo - five yearssix - ten yearseleven - 20 years20+ years
27. Additional Family Member Names
    List names of additional family members
29. Explain why this family or individual should be featured.
    Do they have a unique hobby? Volunteer their time locally? Have an interesting job or interest? Do they just really love Roeland Park? Explain here.
31. Demographic Information (optional)
33. Race/Ethnicity

    The City of Roeland Park works hard to feature residents of all races and ethnicities. Please select all that apply.

    1. White
    2. Black or African American
    3. Hispanic or Latino
    4. Asian or Pacific Islander
    5. American Indian or Native American
    6. Other
    7. Multiple
35. If other, please list
Leave This Blank:


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

    This field is not part of the form submission.

39. Submit

* indicates a required field