“COMMUNITY SERVICE” AWARD NOMINATION FORM
Due Date: November 30, 2025[ ONLY ONE AWARD RECIPIENT PER COMMUNITY ]

All nominations must include:
Completed Nomination Form (Accurately Completed).
A brief (200 words maximum) biographical sketch. The biographical sketch for adults’ nominee excellence should include a summary of the nominee’s demonstration of extraordinary leadership, and exhibition of quality participation in civic and community forums.
Latest photograph of the nominee. Color photo head shot with light and plain background preferred. Minimum resolution must be 600 x 600 dpi in jpeg format.

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