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ZDNU-2017 Volunteer Recognition Nomination Form

  1. Complete one form for each nominee or group.

  2. Nominee Category*

    Check which category best fits your nominee:

  3. Please attach a photo of the person or group.

  4. Nomination Support

    It is important to provide information that is clear and concise because the information provided will be used to determine whether the nominee wins an award. Also, the information will be used in the presentation of the award, if selected.

  5. Please describe why the volunteer or group achievement was unique and outstanding as it relates to their exclusive contribution to Pierce County Government.

    Please provide at least one but no more than three volunteer achievements and explain why we should consider these accomplishments or why it was unique.

    Answer is limited to 250 words.

  6. Who other than the nominator is familiar with the accomplishments of the nominee and can be contacted to verify the scope and extent of the nominee’s activities:

  7. Leave This Blank:

  8. This field is not part of the form submission.