Volunteer of the Year Award
Nomination Form

Award Category:

Name:

School:

Grade Level:

Elementary School Middle School High School

Years of Service:
(Including current year)

Estimated hours served
during current year:

Describe why the nominee's volunteer efforts should be recognized and considered for a Volunteer of the Year Award.

(Please be concise)

Submissions will be judged according to the significance of the work being done, the volunteer's management and leadership skills, unique or creative services and/or programs; whether a Blue Ribbon Achievement Award or a Gold Circle Award was obtained; and any additional information that may identify this individual as exceptional. Special consideration will be given to additional factors such as originality of the program and outstanding time commitments.

Name:

Title:

Address:

City:

Zip:

Phone:

000-0000

E-mail:

Please submit to New Hampshire Partners in Education by June 10, 2011