Humanitarian Organization Service Award Nomination Form
Nominate an individual or group for outstanding service within our humanitarian organization.
Nominator's Full Name
*
First Name
Last Name
Nominator's Email Address
*
example@example.com
Nominator's Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
Nominee Type
*
Individual
Group/Team
Nominee's Full Name (or Group Name)
*
First Name
Last Name
Nominee's Email Address (if known)
example@example.com
Relationship to Nominee
*
Please Select
Colleague
Supervisor
Volunteer Coordinator
Community Member
Other
Duration of Service by Nominee
*
Please Select
Less than 1 year
1-3 years
3-5 years
More than 5 years
Describe the service, project, or achievement for which you are nominating this individual/group.
*
Please explain the impact of the nominee's service on the community or organization.
*
Impact Assessment
*
Minimal Impact
1
2
3
4
5
6
7
8
9
Exceptional Impact
10
1 is Minimal Impact, 10 is Exceptional Impact
Supporting Documents (e.g., testimonials, photos, certificates)
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Additional Comments or Information
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