Award Nomination Form


Do not begin completing this form if you have not read the instructions:

Required information is marked with *

1 Start 2 Nominator Information 3 Nomination Details 4 Complete
By checking Yes below, I certify that the information being submitted is an accurate representation of the service performed by the nominee.
Nominee Information

After providing basic information about the nominee and nominator, you'll be asked for specific and detailed information about the nominee's involvement and qualifications for the award.  Please do not use ALL CAPS.

Enter name EXACTLY as it is to appear on the award plaque if they are selected.
If your Volunteer Hall of Fame nominee is a business or organization, etc. operating across the state, please select "Statewide". If it's in several counties in Iowa, you may hold the Ctrl key to make multiple selections. If completing an Excellence in Mentoring Award, indicate the county in which the mentor lives.
Provide the number of YEARS this nominee has served. It's acceptable to estimate, but do not use terms like "many" or "countless".
Numerals only -- do not enter any special characters such as dashes or parentheses.
Attach a photo of the nominee that can be used in publicity postings. Click on the Choose File button below, navigate to the photo you wish to include, then click Upload.
Files must be less than 3 MB.
Allowed file types: gif jpg jpeg png tif.

Printed from the website on January 16, 2018 at 4:45pm.