Lyle R. Heath Community Service Recognition Award
The Sentinel Kiwanis Club of Missoula annually recognizes an individual for his/her unselfish donation of time and talent to one or more nonprofit organizations in Missoula County. The award is named after the late Lyle R. Heath, who served on many community organizations over 26 years and was a founding member of the Sentinel Kiwanis Club. One adult and one youth recipient of the Lyle R. Heath Community Service Recognition Award will be publicly recognized at our April 14, 2016 breakfast meeting and each will also receive a recognition plaque and a $250 cash donation to the organization of the recipient’s choice.

TO NOMINATE AN INDIVIDUAL, please complete the following form.

If the person has previously been nominated, but did not receive the award, please feel free to re-nominate the person by updating the nominee’s information from the previous submission.

For more information about the Sentinel Kiwanis Club of Missoula visit our website http://www.sentinelkiwanis.org/

Selection Criteria

The nominees will be judged on the basis of the following criteria:

⦁ Consistency and willingness to continue volunteer service
⦁ Number of hours spent in volunteer work on a weekly basis
⦁ Breadth of volunteer work as reflected in the number of organizations the nominee volunteers with.
⦁ Impact of nominee’s service on community served by the organization or Missoula County as a whole.

Name of Nominee *
Your answer
Please select award category *
Nominated by:
Name *
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Organization
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Address of person nominating award recipient
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Telephone number of person nominating award recipient *
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Email of person nominating award recipient
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Information on Nominee
⦁ Please fill out the List of Community Organizations and years of service:
Please list all community organizations the nominee is currently involved with or has been involved with in the past, including all approximate dates of service, special projects handled (if any), and position or offices held (if any). Please make additional copies of the List of Community Organizations and years of service as needed.
⦁ Additional Information: We are looking for specific information which exemplifies the true spirit of volunteerism and embodies the spirit of Lyle R. Heath. Please include any further information, which may help with the selection process Please limit to 500 words or less.

Information on Nominee *
List of Community Organizations and Years of Service:(Please list all community organizations the nominee is currently involved with or has been involved with in the past, including all approximate dates of service, special projects handled (if any), and position or offices held (if any). Please list the following information: (1) Organization Name (2) Dates of Service or (3) # of YearsFrequency of Service (i.e., 5 hrs/week or 15hrs/month) (4) Position or office held (5) Describe volunteer activities
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Any Additional information on nominee here
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