Montgomery Serves Awards 2019 - Volunteer(s) of the Year Nomination Form
Please read all the directions before submitting your nominations.
Montgomery County government annually recognizes individuals, businesses, and community groups that have demonstrated commitment and dedication through significant and direct volunteer service in our community during the year. Before completing the nomination form, please review the following guidelines:

--The nominee must either live, work, or serve in Montgomery County.
--Nominations should describe outstanding volunteer service in 2018.
--The nominated volunteer service must have been performed outside the context of a nominee’s paid employment ( i.e., it cannot be part of his/her job).
--Individuals or groups should not be nominated for their financial contributions.
--Past winners are ineligible to win in the same category.

The Montgomery Serves Awards Selection Panel will review and select winners that demonstrated commitment and dedication to service in each of the award categories listed. Deadline for submissions: February 28, 2019, 5:00 PM. Questions? Please email serviceawards@montgomerycountymd.gov or call 240-777-2600.

Award Category Nomination - Select One *
Is Individual Nominee over 60? If yes, state age.
Your answer
If Youth Nominee, state age.
Your answer
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 / VOLUNTEER
First Name *
Your answer
Last Name or Organization *
Your answer
Contact Person (First and Last Name)
This field is used if you are nominating a group or a business, or perhaps a young student and you'll want to include parent information in this contact field.
Your answer
Address (Street, City, State, and Zip Code)
Your answer
Phone Number (Format: XXX-XXX-XXXX) *
Your answer
Email Address *
Your answer
Does Nominee know s/he or group 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 Montgomery Serves Awards. 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
--Where and when did the nominee begin volunteering?
--Were there any motivating factors?
--Specifically what projects or duties were performed in 2018?
--How many hours were volunteered and over what period of time in 2018?
--If this nominee served with more than one organization please provide as much information about service provided to each organization.
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
Submit
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service