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.)
Teléfono:
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