Local Heroes Nomination Form
Heros must be local volunteers giving their time or energy to a nonprofit, municipality, school, or other public entity. Please submit your volunteer's information, all nominated volunteers will be contacted by Green Mountain United Way for an interview and will appear in the Times Argus Local Hero's column. If your nominee is in another region, please email Carrie Stahler to let her know the local paper in that region
We appreciate it if you get the volunteer's permission and notify them that they are being nominated before you fill out this form. All nominees will be interviewed if they are in our service area of Caledonia, Essex, Orange, Orleans, and Washington Counties.
About Your Volunteer/Local Hero
Agency or Organization Name
Volunteer's Position or Role
Volunteer's phone number and email address
Describe the work: Please provide some details about what the volunteer does for your organization and how that volunteer and how their work contributes to your mission. (**additional information can be emailed to
Who will provide a photo of the volunteer?
Photo will be emailed to
after this form is submitted
Photo will come from volunteer
Photo will come at a later date (please let us know when)
We need help with a photo!
Have you notified the volunteer that they are being nominated for the Volunteer of the Month?
Not yet, I will after I submit this form
Never submit passwords through Google Forms.
This form was created inside of Green Mountain United Way.
Terms of Service