Given to a student who exhibits outstanding contribution and offers themselves as a volunteer in their school, community, and/or church.
Name of Student
Explain briefly, in paragraph format, why you believe you, or the above named student, should receive this award.
In the spaces provided at the bottom, please have representatives of your community and/or church provide their signature as a reference for your involvement.
If you are applying or providing a reference for a student or former student, please list your name and contact information.
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