Neal Potter Path of Achievement Award Nomination
You are submitting a nomination for the 2019 Neal Potter Path of Achievement Awards. Please read the instruction below.
Instructions
In partnership with the Commission on Aging and The Beacon newspaper, Montgomery County government annually honors two residents age 60 and better whose lifetime of volunteer service and commitment to Montgomery County make them outstanding role models for young and old alike. This annual award is named in memory of former County Councilmember, County Executive, and activist, Neal Potter. The recognition is organized by the Montgomery County Volunteer Center and Fund for Montgomery.

Before completing the nomination form, please review the following guidelines:

--The nominee must have lived, worked, or served in Montgomery County during their time of service.
--The nominee must be 60 years of age or better.
--The nomination should focus on volunteer service performed over a lifetime .
--Past winners and current members of the County's Commission on Aging are ineligible.
See past winners here: http://bit.ly/2I6miPT
See Commission on Aging members here: http://bit.ly/2WUWPwi

The Neal Potter Path of Achievement Awards Selection Panel will review and select two winners whose accomplishments, enthusiasm, and lifelong commitment to volunteer service make them outstanding roles models in the community. Deadline for submissions: February 28, 2019 5:00 PM.

Questions? Please email serviceawards@montgomerycountymd.gov or call 240-777-2600.

NOMINATOR (That's You!)
First Name *
Your answer
Last Name *
Your answer
Title or Organization Name
Your answer
Address (Street, City, State, and Zip Code)
Your answer
Phone Number (Format: XXX-XXX-XXXX) *
Your answer
Email Address *
Your answer
Relationship to Nominee, if any
Your answer
How did you hear about this award? *
Your answer
NOMINEE
First Name *
Your answer
Last Name *
Your answer
Contact Person (First and Last Name) *
Your answer
Address (Street, City, State, and Zip Code)
Your answer
Phone Number (Format: XXX-XXX-XXXX) *
Your answer
Email Address *
Your answer
Age - Must be 60+ years of age *
Your answer
Does Nominee know s/he is being nominated? *
Required
We would like to recognize all nominees in the event program. If your nominee is not selected, may we still list his/her name in the program as a nominee? *
Required
TELL US ABOUT YOUR NOMINEE (not to exceed 1000 words)
This narrative will be the only information used to select the winners of the 2019 Neal Potter Path of Achievement Award. Nominators should not submit separate material; rather, they should focus on submitting a well-written and thorough narrative for consideration. Reviewers will not consider supplemental information, such as links to websites, newspaper clippings, or letters of support. This information may be included in the essay as long as the essay does not exceed 1000 words. Please provide your narrative of 1000 words or less below, incorporating all the information requested below.

Biographical Information

Brief biographical information for individual nominees or historical information for groups and businesses.

Volunteer Service Information
--This award is for a lifetime of service. Please provide as much information as possible about their lifetime of service.
--Where and when did the nominee begin volunteering?
--Were there any motivating factors?
--Please describe the volunteer activities and projects the nominees performed and what organization(s) s/he assisted including any specific information about hours volunteered.
--Specifically describe the nominee’s achievements and the effect s/he has had in the community over their lifetime.

Additional Information
--Feel free to provide quotes from supervisors or colleagues or excerpts from sources such as newspaper articles.
--What made this nominee’s volunteer service extraordinary? Are there any special or unique stories about this nominee’s volunteer service?
--Has the nominee received any other awards or recognition?

Enter Narrative *
Your answer
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