ADDINK COMMUNITY SERVICE AWARD NOMINATIONS 2023

Addink Service Award | Promise Community Health Center in Sioux Center, Iowa | Federally Qualified Health Center serving Rock Valley, Hull, Boyden, Sheldon, LeMars, Rock Rapids, Hawarden, Orange City, Alton, Granville, Hospers, Ireton Iowa

30 Aug

The Addink Community Service Award is presented annually to an individual, team, business, ministry or family, who has made a positive difference in communities through volunteering, leading, and impacting lives.

The deadline to submit a nomination is October 1, 2023

This year’s honoree will be presented the award during Promise Community Health Center’s 14th annual “An Evening of Promise” celebration on Thursday, Oct. 19, at Terrace View Event Center in Sioux Center. The honoree will be notified prior to the event and recognized publicly.

Fill out the form below to nominate someone!

The doors open at 5:30 p.m. and the event will begin at 6 p.m. The event will feature a catered dinner, entertainment by The Dueling Duo, dueling pianos, and the presentation of the Addink Community Service Award.

ADDINK COMMUNITY SERVICE AWARD NOMINATION

Your Full Name*
Your Email*
Your Cell Phone Number*
Full Name of Person you are Nominating:*
Email Address for nominated person:
Cell Phone Number for nominated person:
List the volunteer and community service roles that individual, or family, fulfills:*
(Please double-check spelling of names of organizations, committees, programs, projects, etc.)
Describe the time, effort and initiative that individual puts into his or her community service roles.*
(Please be as specific as possible and use complete sentences.)
How has the individual's efforts made an overall positive impact?*
(For example, how has he or she impacted the direction and success of the community organizations, programs or projects that he or she has been involved in? How has he or she improved the lives of others? How has he or she inspired others to serve or has acted as a role model?) (Use complete sentences.)
Overall, why is this person worthy of the Addink Community Service Award? Why do you nominate him or her?*
(Please sum up your reflections in two to three complete sentences.)
Name
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