Nominee (Organization or Individual First and Last Name): *

Nominee Title(s) (work, student, organization, volunteer positions etc.) *

Nominee Contact Information (include at least one of the following: phone number or email where the nominee can be reached). *

- Provide a brief description of the organization/individual's leadership and service in the community. *

- What were outcomes of the nominee’s volunteerism? Provide as much detail as possible, for example: number of volunteer hours provided, number of people served, etc. *

- What made this nominee’s volunteer service extraordinary? Provide anecdotal information, such as stories and quotes to demonstrate the non-measurable impact of the nominee’s volunteerism. *

- Provide social media account handles, online biography links, or any other useful online links (if any) that could provide more information about this nominee's accomplishments.