Presidential Volunteer Service Award Nomination Form
If you are interested in recognizing your volunteers with a Presidential Award please complete the form below. This form MUST be completed by the organization who can confirm the hours served by a nominee.

This award is bestowed by the Office of the President of the United States, and it recognizes the valuable contributions of volunteers nationwide who are answering President's call to serve others.

Award Criteria: Any individual, family, or group can receive Presidential recognition for volunteer hours earned over a 12- month period or over the course of a lifetime at home or abroad. The following are the eligibility requirements for each age group:

* Kids: Age 5-10
* Teens: Age 11-15
* Young Adults: Individual Age 16-25
* Adults: Individual Age 26 and older

Please select ONE level and complete the form below. Click SUBMIT at the end of the form.

Deadline for submission is Friday, September 1, 2017.

Bronze Level
Please select appropriate award based on age group below.
Silver Level
Please select appropriate award based on age group below.
Gold Level
Please select appropriate award based on age group below.
President’s Call to Service Award
How many hours did the nominee complete during the 12-month period?
Your answer
Please indicate the START date of the 12-month period referenced above.
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Please indicate the FINISH date of the 12 month period referenced above.
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Have they completed more than 4,000 hours of community service over their lifetime?
Did the nominee complete any of their hours in a country other than the USA?
If yes, what country?
Your answer
Nominee Information
Please enter the information for your nominee. Only one nominee per form.
First Name
Your answer
Last Name
Your answer
Name preferred on certificate:
Your answer
Age
Your answer
Street Address
Your answer
City
Your answer
Zip Code
Your answer
Email
Your answer
Tell Us About Your Nominee
Please explain more about your nominee's service and the impact they have had in their community as a direct result.
Please Note: Space is unlimited, so tell us as much as you can!
Your answer
Your Contact Information
Please enter your contact information below.
First Name
Your answer
Last Name
Your answer
Email Address
Your answer
Street Address
Your answer
City
Your answer
State
Your answer
Zip Code
Your answer
Phone
Your answer
Award Recognition Event Information
7th Annual Spirit of Community
Date: October 26, 2017
Time: 6:00 to 9:30 pm
Place: Auletto Caterers in Deptford, NJ

All tickets $35.00

Awardee's dinner
Ticket Cost is $35.00
I would like additional tickets to attend Spirit of Community.
Ticket Cost is $35.00
Verifying Organization/Individual
For Organization: By signing below, I certify that my organization has verified that the individual specified on this form has completed the service hours reported on the form and completed the volunteer activities in at least one of the four Volunteer Service Action Priorities (above).

For Individual: Please have a detailed log of hours verified by the organization(s) to nominate for this award.

Name of Organization
If you are affiliated with an organization, please enter the name below.
Your answer
Your Signature
Your answer
Volunteer Center of South Jersey
1400 Tanyard Road, Room 410
Sewell, NJ 08080

P: 856-415-9084 F: 856-415-9085 Website: www.sjvolunteers.org

For additional questions, please call 856-415-9084 or email volunteer@sjvolunteers.org.

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