Governor's Volunteer Stars Awards 2018 Nomination Form
COMPLETE ALL FIELDS FOR NOMINATION TO BE CONSIDERED
Full / Legal Name of Nominee *
Your answer
Nominee Daytime Phone *
Your answer
Nominee Email Address *
Your answer
Nominee Street Address *
Your answer
Nominee City / State / Zip *
Your answer
"County in Which Nominee Resides *
Nominee Date of Birth *
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DD
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Organization(s) Where Nominee Serves *
Your answer
Organization Contact Name *
Your answer
Organization Phone Number *
Your answer
Organization Email Address *
Your answer
Does the service performed address low-income issues? *
Please Mark the Appropriate Box *
Youth Volunteer Age
Your answer
Full / Legal Name of Nominator *
Your answer
Nominator Daytime Phone *
Your answer
Nominator Other Phone
Your answer
Nominator Street Address *
Your answer
Nominator City / State / Zip *
Your answer
Nominator Email Address *
Your answer
Nominator Relationship to Nominee *
Your answer
How did you hear about the County's Volunteer Awards? *
Nomination Narrative (no more than 500 words): The narrative must answer the following questions: What makes the honoree an outstanding volunteer? What agency(s) do they serve with? How long have they served with this agency? What type of service do they perform? How does their service impact their community? What makes the honoree unique? *
Your answer
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