Town of Westville > Nomination Form

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Volunteer Award Nomination Form

Town of Westville Volunteer Nomination Form
Please Select one
Representative Volunteer of the Year
Youth Volunteer of the Year
Nominee Information
Nominee Full Name

Address

Street Address
Street Address 2
City	State / Province
Postal / ZipCode	Country

Phone
Area Code - Phone Number
Email

Volunteer Description
Summarize the overall impact the nominee has made to their community and/or organization(s). (maximum 100 words)
What makes this nominee stand out? Why are you proud to have them represent your community and/or organization(s)? (maximum 100 words)
Volunteering Highlights
What are some highlights of the nominee’s volunteer career that they are particularly proud of or want featured at the event? (maximum 100 words)

Volunteering History
When did they start volunteering?
What motivated them to start volunteering?
What are the organizations that have been most affected by their volunteering throughout their volunteer history, and what were some of the impacts?
Do they currently volunteer?
Yes
No
If Yes, where and doing what?
Nominator Information
Nominator Full Name
Name of organization/community group:
Relationship to Nominee:
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