Bob Shryock Community Service Award Nomination Form
Nominated by individuals in the community, this award is bestowed to a local non-profit organization that has shown an unwavering commitment to volunteerism in the community. Eligible nominees must meet the following criteria:

- Be registered as a 501(c)3 organization or a governmental entity that uses volunteers
- Use volunteers effectively to meet the organization's goals

The final recipient of this award is selected by VCSJ's judging committee. There is no minimum hour requirement, and self-nominations are not accepted. Event costs are covered by VCSJ for the awardee and one guest. Additional tickets are available for purchase.

Deadline for submission is Friday, September 1, 2017.

Please complete the form below and click SUBMIT at the end.

Nominee Information
Please enter the following information for your nominee. Please note only one nominee per form.
Organization Name
Your answer
Is this organization a non-profit partner with VCSJ?
Organization should be a member with VCSJ. For more information email npp@sjvolunteers.org.
Please provide the organizations Employer Identification Number (EIN)
Your answer
Primary Contact First Name
Your answer
Primary Contact Last Name
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. This information will be reviewed by the award committee to determine eligibility for the award.
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
Street Address
Your answer
City
Your answer
State
Your answer
Zip Code
Your answer
Email Address
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Phone
Your answer
Name of Organization
If you are affiliated with an organization, please enter the name below.
Your answer
Award Recognition Event Information
Spirit of Community 2017
Date: October 26, 2017
Time: 6:00 to 9:30 pm
Place: Auletto Caterers in Deptford, NJ
I would like additional tickets to attend Spirit of Community.
Ticket Cost is $35.00
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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