Neal Potter Path of Achievement Award Nomination Form
NOMINATION DEADLINE: FRIDAY, FEB. 28, AT 5 PM

The Montgomery Serves Awards, our county’s highest honor for volunteerism, annually recognize individuals, businesses, and groups that have demonstrated remarkable commitment to direct volunteer service in our community.

Use this form to nominate individuals for the 2020 Neal Potter Path of Achievement Award, which each year 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. Presented in partnership with the Commission on Aging and The Beacon newspaper, this 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.

Visit www.montgomerycountymd.gov/volunteercenter/awards/ for links to nomination forms for all other Montgomery Serves Awards categories.

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

• Nominations will be evaluated based on volunteer service performed throughout the nominee’s lifetime for the Neal Potter Path of Achievement Award as detailed in the nomination narrative. The narrative is limited to 1,000 words.
• Nominees must have either lived, worked, or served in Montgomery County during their time of service.
• Nominees for the Neal Potter Path of Achievement Award must be at least age 60.
• Nominees’ volunteer service must have been performed outside the context of their paid employment (i.e., it cannot be part of their job).
• Nominees should not be nominated for their financial contributions.
• Past winners are ineligible to win in the same category. Current members of the Montgomery County Commission on Aging are ineligible for the Neal Potter Path of Achievement Award.
• Nominators will be notified of their nominees’ status once all honorees have been selected.
• Honorees will be recognized at a gala ceremony attended by local, county, and state dignitaries set for Monday, April 27, at Imagination Stage in Bethesda.
• Nominations must use the appropriate nomination forms and be submitted online no later than Friday, Feb. 28, at 5 pm.

See past winners here: http://bit.ly/2I6miPT
See Commission on Aging members here: http://bit.ly/2WUWPwi

Questions? Email serviceawards@montgomerycountymd.gov or call the Montgomery County Volunteer Center at 240-777-2600.
NOMINATOR INFORMATION
(That's you!)
First name *
Your answer
Last name *
Your answer
Address (street, city, state, and zip code)
Your answer
Phone number *
Your answer
Email address *
Your answer
Relationship to nominee, if any (include your organization/title if appropriate)
Your answer
How did you hear about this award?
Your answer
NOMINEE INFORMATION
First name *
Your answer
Last name *
Your answer
Age *
Nominees for this award must be age 60 or better
Your answer
Address (street, city, state, and zip code) *
Your answer
Phone number *
Your answer
Email address *
Your answer
Additional contact person, if needed
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
This narrative will be the only information used to select recipients of the 2020 Neal Potter Path of Achievement Award. Reviewers will not consider supplemental materials such as links to websites, newspaper clippings, or letters of support; however, details from such sources may be included within the 1,000-word limit of the narrative.

Nominators should focus on submitting a well-written and thorough narrative of 1,000 words or less, written in paragraph form (not a bulleted list) and incorporating the following information:
• Brief biographical information
• Where and when the nominee began volunteering
• Any motivating factors for the nominee’s service
• Specific volunteer projects or duties the nominee has undertaken in his/her lifetime
• Period of time and number of hours in which the nominee volunteered during his/her lifetime
• For nominees who volunteered with more than one organization, details about service provided to each organization
• Why the nominee’s volunteer service should be considered extraordinary
• The nominee's achievements and the effect s/he has had on the community
• Any special or unique stories about the nominee’s service
• Any other awards or recognition the nominee has received
• As appropriate, quotes from supervisors or colleagues or excerpts from sources such as newspaper articles

The Montgomery County Volunteer Center may use this narrative in whole or part in publicity and awards event materials.
Enter Narrative *
Your answer
Submit
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy