NOMINATION INSTRUCTIONS

Once you start the online nomination, you can’t save it and come back later, so please gather the following information and prepare your answers prior to starting the online nomination.

After you have prepared your answers, follow the instructions below to submit your nomination online.

NOMINEE’S EMPLOYER

  • City Government
  • County Government
  • State Government
  • Federal Government

NOMINEE
NAME
TITLE
ORGANIZATION
AGENCY / ADDRESS / CITY / STATE / ZIP
PHONE
EMAIL

NOMINEE’S SUPERVISOR
NAME
TITLE
ORGANIZATION
AGENCY / ADDRESS / CITY / STATE / ZIP
PHONE
EMAIL

NAME OF PERSON SUBMITTING THE NOMINATION
NAME
TITLE
ORGANIZATION
AGENCY / ADDRESS / CITY / STATE / ZIP
PHONE
EMAIL

NAME & CONTACT FOR CHARITABLE ORGANIZATION SUPPORTING THE NOMINATION
NAME
TITLE
ORGANIZATION
AGENCY / ADDRESS / CITY / STATE / ZIP
PHONE
EMAIL

**Upload Letter of Support from the charity supporting the nomination

NOMINATION QUESTIONS (Maximum 250 words per question)

  1. Please list the nominee’s specific involvement that resulted in significant positive outcomes for the community. Specify the total hours for each activity.
  2. Describe the scope and impact of the nominee’s contribution to volunteerism in the community.  Emphasize the tangible benefits realized.
  3. List the nominee’s leadership qualities and how they inspire others to volunteer and serve their community?
  4. How many total hours did the nominee donate to the volunteer activities in this nomination from January 1 – December 31, 2015?

Submit Your Nomination Online

The form has 5 sections, all of which must be completed.  Incomplete nominations will not be considered.

  1. Complete Section 1 – Nominee | Click NEXT
  2. Complete Section 2 – Nominee’s Supervisor | Click NEXT
  3. Complete Section 3 – Person Submitting the Nomination | Click NEXT
  4. Complete Section 4 – Charity Contact & Letter of Support | Click NEXT
  5. Complete Section 5 – Nomination Questions | Click SUBMIT

You will be redirected to the first page of the form.  Scroll down to the Nomination box where your confirmation message (Your submission has been received) will appear.