Community Service Award Nomination Form Sample

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Are you active in community service activities? If so, you may have heard that there are community service awards and then now you may be wondering about community service award nomination form. Usually, the organization gives awards to the participants of the community service to thank them and also to appreciate them. Before giving community service awards, some organizations may use nomination form first to know who will be given the awards.

In the nomination form of community service award, the information which is available is usually the name of the nominee, organization, nominee’s mailing address, email address, phone number, reasons for nomination and some other information.

According to the Town Of Charlton site, here is the form sample of nomination for Community Service Awards.

Nominee Information:                                Category of Award: ……………………………………..

 

Nominee’s Name: ……………………………………………………………………………………………………….

Address : ……………………………………………………………………………………………………………………..

City: ………………………………. State: …………………Zip: …………… Phone number: ……………….

E-mail address: ……………………………………………………………….

Length of Residency …………………………………….Date of Birth/ Age: ………………………………

Organization (if applicable) ………………………………………………………………………………………..

Reasons for nomination: ……………………………………………………………………………………………

…………………………………………………………………………………………………………………………………..

Nominator Information:

Nominator’s name: …………………………………………………….Date: …………………………………….

Organization (if applicable): ……………………………………………………………………………………….

Address: ……………………………………………………………………………………………………………………..

City: ………………………….. State: ………….. Zip: …………….. Phone number: ……………………….

E-mail address: ………………………………………………………….

You are able to access the nomination form for community service awards of the Charlton Old Home Day at here.

For your information, every year the Charlton Old Home Day Committee looks for nominations for Community Service Awards for Charlton businesses or residents where the awards are for recognizing the volunteer work in the community, schools, and service to fellow citizens. The categories in the Charlton awards include Citizen of the Year, Honorary Parade Marshall, Individual Community Service Award, Business Award, and Youth Community Service Award.

And here is the community service award nomination form sample of Jackson County Oregon.

Name of Nominee ……………………………………………………………………………………………………………………

Organization …………………………………………………………………………………………………………………………….

Nominee’s Mailing Address ………………………………………………………………………………………………………

Contact Phone …………………………………………………….Email Address: …………………………………………….

Person Completing Form …………………………………………………………………………………………………………..

Affiliation/ Association with Nominee ……………………………………………………………………………………….

Mailing Address …………………………………………………………………………………………………………………………

Contact Phone …………………………………………………… Email Address ……………………………………………..

On separate page, please answer the following questions to the best of your knowledge, in as much detail, and with specific examples where possible:

  • Please describe nominee’s service
  • How long has the nominee performed this service?
  • How did this effort solve or ease a community problem?
  • What awards or recognition has the nominee received for their service?
  • What else should be considered about this nominee?
Please return completed form to: Board of Commissioners’ Office

10 S. Oakdale, Room 214
Medford, OR 97501

For inquiries, please call 541‐774‐6116 or email BoC‐CAO_Admin@jacksoncounty.org.

~ Please complete this form in its entirety; incomplete forms will not be considered. ~

You are able to access the form above at file:///C:/Users/Dani%20IT/Downloads/2016_11_09_NominationForm.pdf.

And here is another Community Service Award Nomination Form sample from gssjc.org.

Nomination received at the Girl Scout Center by the dates below will be considered for awards to be presented at the event selected. If received after due date, application will automatically be considered for presentation at the next appropriate event listed.

February 15    ………    Council Recognitions Event – Spring*

March 15        ………     Community/Region Functions – April/May/June

OR 12  Weeks Prior to Presentation________Function:_______________

* Speech reader and nominee must register for the Adult Recognition Event for award presentation.

Partner Nominee: ………………………………………………………………….. Date: …………………………………………..

Address of nominee: ……………………………………………………………………………………………………………………..

Nominator: ……………………………………………………………Community: ………………………………………………….

Nominator Telephone: Day (    ) ………………………………………… Evening (   )………………………………………

Previous Girl Scout awards earned by nominee: (please include dates if known) ………………………….

………………………………………………………………………………………………………………………………………………………

Current role of community partner: ……………………………………………………………………………………………..

How has partner provided exceptional service to Girl Scouts of San Jacinto Council? …………………..

………………………………………………………………………………………………………………………………………………………

How long has the individual or organization been providing support? ………………………………………….

………………………………………………………………………………………………………………………………………………………

List the impact and results of this nominee’s contribution toward the Girl Scout Movement ……….

………………………………………………………………………………………………………………………………………………………

Specific audience benefiting from service (troop, Community, Council, Special Interest Group) : …

………………………………………………………………………………………………………………………………………………………

You are able to access the form above at here.

And here is the sample of 2019 Community Service Award Nomination Form of Rotary Club of Tacoma #8.

Individual Being Nominated:

 

Name: ………………………………………………….

Business Phone: …………………………………..

Company: ……………………………………………

Business Address: ……………………………………….. Zip: …………..

Email: ………………………………………………….

Submitted By:

 

Name: ………………………………………………….

Business Phone: …………………………………..

Email: ………………………………………………….

1. Please summarize the overall contributions of this individual to the community. For example: volunteer service; membership on boards; offices held; involvement in coalition or advisory groups, civic committees, task teams, etc.

 

2. What is the specific nature of the Community Service performed for which you are nominating this individual for this award?

 

3. Please describe why you think this person should receive the Community Service

Award. Please indicate how this individual exemplifies the Rotary ideal of “Service

Above Self”.

 

4. If relevant and you have it, please provide additional background information about the person being nominated.

Working history (i.e., employers and positions)

 

Education history (i.e., schools attended, degrees, awards, etc.)

 

Other information the helps to illustrate the nature of their Community Service.

 

5. Other awards and/or honors received by this individual?

You are able to access the form above at here.

That’s all some samples of community service nomination awards. You are able to use them as examples or references. As you are able to see from the samples of forms above, usually in a community service nomination form, there information required is the name of the nominee, address, email address, phone number, organization, reasons for being nominee, and some other information.

For your information, the reason why people who become volunteers in community service are given the award is usually to recognize them. As explained on Awards4u.com, there are some ways that organizations can do to recognize their volunteers and one of them is to give them awards. The other ways to recognize the volunteers are to share the volunteer’s accomplishments and to give small tokens of gratitude to the volunteers. Sharing a volunteer’s accomplishments means that the organization can feature outstanding volunteers on social media, on websites or in email newsletters routinely where it is aimed to celebrate the work they have completed and the impact that they give on the community. Giving small tokens of gratitude means that the organization can distribute small thank-you gifts throughout the project to show the organization’s gratitude to volunteers. The organization may be able to give restaurant or coffee gift cards, event handmade thank-you notes or other items where it may mean a lot of the volunteers.

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