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Organization Information
Nominating Person:
Organization:
Position with Organization:
Phone #:
Email:
Candidate Information
Candidate Name:
Age:
Years with Organization
Address:
City:
State:
AK
AL
AR
AZ
CA
CO
CT
DC
DE
FL
FM
GA
GU
HI
IA
ID
IL
IN
KS
KY
LA
MA
MD
ME
MH
MI
MN
MO
MP
MS
MT
NC
ND
NE
NH
NJ
NM
NV
NY
OH
OK
OR
PA
PR
PW
RI
SC
SD
TN
TX
UT
VA
VI
VT
WA
WI
WV
WY
Zip Code:
Candidate Involvement
How long has the candidate been a volunteer with your organization?
chars left:
4000
What responsibilities/duties does the candidate perform while volunteering with your organization?
chars left:
4000
What specific actions has the candidate performed that are considered above and beyond normal duties?
chars left:
4000
What other specific ways has the candidate helped others?:
chars left:
4000
* All nominations will be reviewed by the Volunteer of the Year Committee. One "Volunteer of the Year" will be selected in each participating state. Criteria used for evaluation includes length of time as a volunteer, specific responsibilities and duties performed, specific actions performed that is considered beyond normal duties, and ways the volunteer helped others.