HUMAN SERVICES ADVISORY COUNCIL, INC

JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.

P.O. Box 894 Council Bluffs, Iowa 51502

Email *

2023 Volunteer of the Year Award Nomination Form

Deadline: October 31st

Award Guidelines: This award recognizes a person demonstrating dedication and commitment through their volunteer efforts. The nominee must currently be providing volunteer services for your organization.

Nominee’s Name *

Agency & Volunteer Role *

How long has the nominee volunteered for your agency/organization?

How often does nominee volunteer each month?

Does the nominee volunteer anywhere else in the community (service agencies, church, school, etc?)

YES

DO NOT KNOW

Clear selection

Explain why this nominee deserves to be recognized for his/her efforts. Include an example of how this volunteer stands out from other volunteers you’ve worked with. *

Nominator’s Name & Job Title *

Nominator's Agency/Organization *

Nominator's Email *

* If your nominee is a finalist, you may be contacted to provide further information.

Send me a copy of my responses.

Submit

Clear form

Never submit passwords through Google Forms.

reCAPTCHA

Privacy Terms

This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy

Forms