Lightkeeper Awards Nomination Form Contact Information for Nominator First Name Last Name Email Address Phone Street Address City State Zip Code Nomination Details Award Category Youth Individual anyone under 18 who has volunteered in the community in any aspect Youth Group under 18 and volunteered as a group Adult Individual adult who has volunteered in the community in any aspect Adult Group group of adults volunteering their time together Education any individual who has volunteered specifically for educational purposes Group Name Enter the Nominee's Information below Enter the Group's Primary Contact Name and Information below First Name Last Name Email Address Phone Number Gender Male Female Age What organizations has the nominee volunteered with? How many years has the nominee volunteered within the community? On average how many hours per week does the nominee volunteer? What is an example of the nominee showcasing an outstanding commitment to volunteerism? What are the special skills and qualities the nominee displays? What impact does the nominee have on crucial needs within the community? Upload picture of individual or group actively volunteering One file only.200 MB limit.Allowed types: jpg, jpeg, png, pdf, doc, docx, ppt, pptx, xls, xlsx. Leave this field blank
