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Distinguished Service Award Application

Please correct the field(s) marked in red below:

Distinguished Service candidates may have volunteered in typical assignments but, through their leadership and dedication, have produced exceptional results

Nominations must be received by Friday, March 2, 2018.

Award Criteria:

Candidates should have displayed:

  • extensive community-wide volunteer support in sports, social services, arts, conservation, safety, or other community activities or organizations.
  • commitment to volunteering with a minimum of two years of service
  • demonstrated a willingness to assume multiple responsibilities and/or projects involving considerable leadership, time, and effort.

A previous Distinguished Service Award winner cannot be nominated again within a ten-year period.

All applications shall include a description of nominee’s volunteer activities and the period of activity describing how the applicant meets the Distinguished Service Award criteria. Nomination descriptions should be limited to the equivalent of one page, single spaced describing the Volunteer’s commitment, leadership, service, and results achieved.

A photograph of each distinguished volunteer is requested. (Digital, preferred)

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Nominator Information:

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Nominator Information:
2

Nominee Information:

Please check the spelling of the name of your nominee.

 *
Nominee Information: Please check the spelling of the name of your nominee.
3

The nomination description may either be typed in the space below or attached using the file upload option.

The nomination description may either be typed in the space below or attached using the file upload option.
  1. To receive a copy of your submission, please fill out your email address below and submit.