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Nomination Form

Volunteers have been the driving force behind the success of Kids, Incorporated for over 60 years.  Since 2001, we have selected one individual per month to represent the volunteer base as our Volunteer of the Month.

If you would like to nominate a special volunteer, please complete the nomination form below:


Nominator Contact Information

Your Name:
Your Address:

Your Zip Code:

Your Home Phone:

Your Work Phone:

Your Mobile Phone:

Your Email:


Nominee Information

Nominee's Name:
Nominee's Address:

Nominee's Zip Code:

Nominee's Home Phone:

Nominee's Work Phone:

Tell us why this individual deserves consideration for the Volunteer of the Month Award:


Thank you for your nomination.  Please click the "Submit" button below to send your nomination.



 
 

Affiliated With
Panhandle Eye Group

 

 

 

 

 

 


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