2023 Adult Volunteer Award Nomination Form 2023 Adult Volunteer of the Year Nomination Volunteer of the Year Name*Nominees can be a board member, consistent volunteer, community advocate, lifetime volunteer, or a volunteer administrator that has given exemplary service to one or more nonprofit, civic or faith-based organizations. Prefix Mr.Mrs.MissMs.Dr.Prof.Rev. First Last Suffix Volunteer of the Year Phone Number*Volunteer of the Year Email* Volunteer of the Year AddressPlease enter the address for the Volunteer if you are able or have the information. Street Address Address Line 2 City State AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific ZIP Code What organizations and roles has this volunteer served?*What personal characteristics make this volunteer successful?*Please provide stories or examples.In what way has this volunteer's involvement been unique, innovative, creative or overall noteworthy?*Please provide examples and other evidence (i.e. stories, quotes, data).Your Name* First Last Your Phone*Your Email* Are you willing to be contacted if any additional information is needed regarding your nomination?*YesNo Δ