Volunteer Awards Nomination Form

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Thank you for visiting our nomination form! Please be detailed and give clear examples when answering the nomination questions. The more detailed the submission, the better the awards committee and general public will understand the scope of the nominee's contribution to area organizations.
Volunteer Award Category*
Select one category per nomination form. The awards committee reserves the right to reassign a category for any nominee.
Information about the Nominator
Please fill this out with your information.
Nominator's Name (your name)*
First Last
Nominator's Email*
Nominator's Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code
Nominator's Daytime Phone Number*
Relationship to Nominee*
As part of our Time for Art and Volunteer Awards event, we host a nonprofit mix & mingle. Organizations can share current volunteer opportunities with attendees and promote their organization. Would your organization like to have a table at our event?*

Yes

No

I haven't participated in the mix & mingle before, please send me more information!

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Information about the Nominee
Nominee's Name*

Individual, group or business name.
Family Member Names

Please include any names of any additional family members.
Nominee's Email*

Nominee's Birth Month and Year*

Nominee's Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code

Nominee's Daytime Phone Number*
Please include names of additional volunteers in the group.

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Organization(s) where the nominee volunteers*

Is the organization a 501 (c)(3)?*

Yes

No
Define the number of hours served by employees within the 2022 calendar year.*

Define the number of hours served within the 2022 calendar year.*

Define the number of years volunteered and lifetime hours served.*

Describe the nominee’s volunteer efforts. Please include which nonprofit or community programs and initiatives the nominee has volunteered with, which individuals and groups they supported, and length of service.*
Please limit response to 150 words or less.
Describe the impact or value the nominee's volunteer service has made to the community. To what extent did the nominee’s actions demonstrate hands-on service that met or solved a need or challenge within the community? Be clear and give detailed examples.*
Please limit response to 150 words or less.
Did the nominee begin a new program, solve problems, or initiate creative ways to work within the organization? To what extent has the nominee made a long-lasting sustainable change?*
Please limit response to 150 words or less.
Describe how the nominee creates a culture of community engagement. Give examples of how the company builds capacity and shares its employees' skills and resources with community partners.*
Please limit response to 150 words or less.
Describe the nominee’s commitment to address social inequities and create a more just, fair, and equitable community. To what extent has the nominee created an innovative approach to solving a community need?*
Please limit response to 150 words or less.
Describe the impact the volunteer had in one of United Way's focus areas of Education, Financial Stability or Health. What types of programs or groups were worked with?*
Please limit response to 150 words or less.
Photo of Group

Drop files here or

Accepted file types: jpg, gif, png, pdf, Max. file size: 128 MB.

Nominee Photos*

Drop files here or

Accepted file types: jpg, gif, png, pdf, Max. file size: 128 MB.

Please upload a headshot and photo(s) of the nominee(s) volunteering. A headshot is required for finalists.

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Volunteer Awards Nomination Form

Step 1 of 3

Information about the Nominator

Information about the Nominee