2019 OFFICIAL GIVE AWARDS NOMINATION
NOMINATION DEADLINE: FRIDAY, FEBRUARY 8, 2019 BY 5:00 P.M.

THE GOVERNOR'S INITIATIVE FOR VOLUNTEER EXCELLENCE (GIVE) AWARDS celebrate the exemplary work of Mississippi's most dedicated citizens. This award program, presented by Volunteer Mississippi in partnership with the Governor's Office, recognizes and honors the valuable contributions of some of Mississippi's extraordinary citizens while inspiring others to follow their example. Awards will be presented at a special luncheon ceremony to be held Monday, April 8, 2019, kicking off celebrations for National Volunteer Week.

NOMINATION CRITERIA & ELIGIBILITY
-Nominees may be individuals or groups that have served in an unpaid/volunteer capacity only.
-The nominee’s volunteer service must have been completed in, and/or accomplished on behalf of, the state of Mississippi.
-Nominees may be self-nominated.
-Nominees must have performed volunteer activities during 2018, however, nominators are encouraged to include all of the nominee's years of service in the nomination form.
-Individuals or groups that volunteer as part of a workplace volunteer program are eligible.
-Nominees who have volunteered for internships or course credit are eligible if service is “above and beyond” minimum responsibilities of these roles.
-National Service nominees, such as, AmeriCorps, VISTA, RSVP, Foster Grandparents, Senior Companions, etc., are eligible for volunteer service “above and beyond” his/her normal duties.
-Nominees must not have received a GIVE Award within the past five years.

INSTRUCTIONS
-All required fields (marked with * ) must be completed and at least 200 words (950 characters) must be entered into the “Nominee’s Volunteer Activities” field. The nomination will NOT submit with incomplete fields.
-DEADLINE for nominations is 5:00 p.m. (CST) Friday, FEBRUARY 8, 2019. Nominations submitted after the deadline will not be accepted.
-Only nominations submitted via this official nomination form will be accepted.

NOTES
-To print your completed form, either right click & click “Print” before you click the “Submit” button OR you can print after submitting the form by choosing “Edit Your Response.” Verbiage that is lengthy may not show when printed, even if you can see it in the field. We recommended copying & pasting in a Word document.
-Information contained in your nomination form may be used for promotion of Volunteer Mississippi and the GIVE Awards, and released to media and elected officials.
-If you need assistance or have questions about the nominations process, please contact Krista Estes, Volunteer Network Officer, at 601.432.6306 or krista@volunteermississippi.org.

THANK YOU FOR HONORING AN INDIVIDUAL OR GROUP OF VOLUNTEERS WITH YOUR NOMINATION!

Volunteer Nominee's Contact Information
Contact information of individual or group/organization being nominated for a GIVE Award
Volunteer Nominee's Name *
Your answer
Contact Person (if an organization or group is the nominee) *
Your answer
Street Address *
Your answer
City *
Your answer
Zip Code *
Your answer
County *
Your answer
Daytime/Office Phone *
Your answer
Evening/Mobile Phone *
Your answer
Email Address *
Your answer
Nominator's Contact Information
Contact information of person completing this form
Nominator's Name *
Your answer
Organization You Represent (if applicable)
Your answer
Street Address *
Your answer
City *
Your answer
Zip Code *
Your answer
Daytime/Office Phone *
Your answer
Evening/Mobile Phone *
Your answer
Email Address *
Your answer
Name & Phone Number of Reference for Nominee (A person familiar with nominee's volunteer service, other than the nominator.)
Your answer
Publicity (Please list your nominee’s local newspaper and TV station by their official, proper names. We may contact them about news coverage of your nominee and the GIVE Awards)
Your answer
Volunteer Nominee's Service Information
Please check ALL categories that apply. At least one category must be selected. If “Other” is checked, please enter a name for your category in the next section. (We reserve the right to re-categorize top-ranked nominations based on merit). *
Required
Other Category
Your answer
How many total volunteer hours has your nominee served? *
Your answer
How long has your nominee been volunteering? (please enter the number of weeks, months, or years) *
Your answer
Nominee's Volunteer Activities
Please give a detailed story that includes the types of volunteer activities and accomplishments, as well as the resulting impact the volunteer's work has had on the community, and why the volunteer deserves special recognition. (If the nominee is a National Service Participant, please explain how their volunteer service goes "above and beyond" their National Service responsibilities.) Descriptions of the nominee’s volunteer activity must be at least 200 words (950 characters) in length (approximately 3/4 page), but no longer than 1600 words in length (approximately 4 pages).
Please Describe Your Nominee's Volunteer Activities
Your answer
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