Giving From the Heart Volunteer Awards

Nomination Form - Deadline May 16 - Upload Nominee Photo Below

Criteria - Eligibility requirements include:
• Nominee’s volunteer organization must serve the community at large in Catawba County.
• Nominee’s volunteer organization must be a non-profit (501 C3) or a governmental agency to receive the award.
• Youth award - Individual 18 years or younger. Youth groups are eligible for the Group Award.
• An adult, youth or group is eligible in one category only.
• Group Award is for groups of 2 or more individuals.
 

Category

Individual

Youth

Group (2 or more)

Nominee - Individual or Group Contact Name

First

Middle

Last

Suffix

If a Group - List all members here:

Nominee/Group Contact Mailing Address

Address

Address 2

City/Town

State/Province

- None -AlabamaAlaskaAmerican SamoaArizonaArkansasArmed Forces (Canada, Europe, Africa, or Middle East)Armed Forces AmericasArmed Forces PacificCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFederated States of MicronesiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarshall IslandsMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPalauPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirgin IslandsVirginiaWashingtonWest VirginiaWisconsinWyoming

ZIP/Postal Code

Nominee/Group Contact Email Address

Nominee/Group Contact Phone Number

Volunteer Job Title:

Years volunteered with organization:

Number of hours volunteered per week:

Number of weeks volunteered per month:

Volunteer Organization

Organization Name:

Volunteer Organization Mailing Address

Address

Address 2

City/Town

State/Province

- None -AlabamaAlaskaAmerican SamoaArizonaArkansasArmed Forces (Canada, Europe, Africa, or Middle East)Armed Forces AmericasArmed Forces PacificCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFederated States of MicronesiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarshall IslandsMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPalauPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirgin IslandsVirginiaWashingtonWest VirginiaWisconsinWyoming

ZIP/Postal Code

Nominator

Name

Organization

Email

Phone

Address

Address 2

City/Town

State/Province

- None -AlabamaAlaskaAmerican SamoaArizonaArkansasArmed Forces (Canada, Europe, Africa, or Middle East)Armed Forces AmericasArmed Forces PacificCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFederated States of MicronesiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarshall IslandsMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPalauPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirgin IslandsVirginiaWashingtonWest VirginiaWisconsinWyoming

ZIP/Postal Code

Describe the nominee's commitment to volunteering with the agency/organization they serve. (300 words maximum)

Describe nominee's accomplishments and how their service has helped meet critical needs in our community. (300 words maximum)

Describe nominee's special skills, qualities and/or leadership qualities. (300 words maximum)

Explain why you nominated this person(s) for the Giving From the Heart Award. (300 words maximum)

Volunteer Photo

Upload

Upload requirements

• One file only.
• 200 MB limit.
• Allowed types: gif, jpg, jpeg, png.

Submit

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