Tedd Wiley Outstanding Volunteer Nomination Form
At the annual Dining with the Stars event, the National Kidney Foundation presents three awards, one of which is the Tedd Wiley Outstanding Volunteer Award. This award honors an individual in our region who has contributed at an extraordinary level of leadership and whose unselfish and dedicated service to the NKF has made a significant difference in the progression of the mission.

You may nominate anyone that shown dedication to the NKF through volunteerism. Nominations are due July 1, 2019. Dining with the Stars will be held Thursday, November 7, 2019 at the Executive Caterers at Landerhaven.

Name of person completing this form. *
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Email of person completing this form. *
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Nominee's Name *
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Nominee's Phone Number *
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Nominee's Email Address *
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How many years has the nominee volunteers with NKF? *
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With which NKF programs and/or events has the nominee volunteered? *
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In what other ways has the nominee demonstrated commitment to NKF's mission? *
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Is there anything else you would like to share about this nominee?
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