Civic Service Institute 2020 GEMS Nomination Form

Civic Service Institute GEMS Nomination Form
The Civic Service Institute at NAU is pleased to announce that nominations are being accepted for the 4th Annual GEMS Awards. Please nominate a deserving VOLUNTEER—individual, civic group, nonprofit, or business for one of the awards. Nominators are limited to nominating one person or group per category.
Event Description

The Civic Service Institute’s GEMS Flagstaff Citywide Volunteer Luncheon, sponsored by Findlay Auto Group, will be held Thursday, April 23, 2020, at the DoubleTree Hotel, 1175 W Rte 66, Flagstaff, AZ 86001. Doors will open at 11:00 am for hors d'oeuvres with lunch being served starting at 11:45. GEMS recognizes the “gems” we have in our community; those volunteers who go above and beyond and make our community the greatest place to live.

Nominations for volunteer awards are currently open under the following categories:
- Youth (up to age 17)
- Young Adult (ages 18-24)
- Adult (ages 25-54)
- Senior (age 55 and over)
- Family (those volunteering as a family together)
- National Service (Current AmeriCorps, VISTA, or Senior Corps member)
- International Service (local folks volunteering outside the US)
- Civic Organization (those groups volunteering for the benefit of the community)
- Business (those who encourage their employees to volunteer or who commit to volunteer as a business)
- Nonprofit (organizations which utilize volunteers to their fullest)
Purchase a table or individual ticket: http://bit.ly/GEMS2020Eventbrite
- Individual Tickets: $37.50/each
- Non Profit Table of 8: $300
- Business Table of 8: $350
- Sponsorship - Table of 8: $400
*sponsorships for a table include 2 seats for the sponsors and 6 seats for the organization of their choosing.*

If you prefer to send a check you may do so, please include a list of those sitting at your table, their entree option, and list any allergies. Checks can be written out to GEMS Civic Service Institute and sent to P.O Box 5063 Flagstaff, AZ 86011, you have until April 16 to send checks.

Entree Choices Include:
- Stuffed Portobello Mushroom
- Fire-Grilled Salmon
- Stuffed Chicken Breast
For More Information, Email CSIGEMS@nau.edu

Other sponsors include Northern Arizona University, the College of Social & Behavioral Sciences and the City of Flagstaff
How to Nominate

Nominating a volunteer for an award is easy; simply complete the form in the coming pages. What you might want to have handy prior to entering the nomination form is the volunteer’s name, address, phone number, email address, and photo (pdf). After entering that information, you will have the opportunity to write an essay (350 words or less) about why the volunteer should be the award winner. You may nominate individuals, organizations, and businesses in the following categories: Youth, Young Adult, Adult, Senior, Family, National Service, International Service, Civic Group, Nonprofit Organization, and Business.
Nomination Guidelines and Criteria
Who is Eligible?
- Any individual, civic group, nonprofit organization, business, or international volunteers who provide an exceptional level of support, activity, or commitment and/or leadership to your organization.
- Nominees must have been engaged in volunteer activities for a minimum of nine (9) months within the community, with the exception of national service and young adult.
- Nominees are eligible in ONE category only.
Who is NOT Eligible?
- Previous GEMS winners.
- Individuals involved in “court mandated community service”.
ALL NOMINATIONS MUST BE SUBMITTED BY FRIDAY, FEBRUARY 7, 2020. ONLY ONE NOMINEE MAY BE SUBMITTED PER CATEGORY PER NOMINATOR. Nomination forms received after February 7th MAY be considered.

If the nominee is a group/team or business the name of one contact person must be provided. The entire group/team or business is more than welcome to attend, however if all cannot attend that individual will be the person who will attend the ceremony and accept the award on behalf of the group or business.
- All information requested must be provided in order for the nomination form to be considered complete. Incomplete forms will not be processed.
- Nomination forms will only be accepted online, no other supporting documentation sent to us will be considered.

Nominator Information
Nominator Name (you)

First NameLast Name
Nominator Title (i.e. Staff, Volunteer)
Nominator Organization
Nominator Email Address
Nominator Phone Number

Nominee Information
Individual/Family Nominee Name (Categories 1-7 only)
Individual Nominee Age (Categories 1-4 only)
Individual/family Nominee Organization (where they volunteer)
Individual/family Nominee Email Address
Individual/family Nominee Phone Number

Individual Nomination Questions (Categories 1 - 7 Only)

Use this space to describe your nominee, tell us about the commitment they give to contribute towards your organization. Whether that be the hours they volunteer, or any recruitment's they may bring.
How long has the nominee volunteered with your organization?
Please indicate the activities in which the nominee contributes his/her time (check all that apply).

Other
Please provide specific examples of how this nominee has enhanced your organization and helped you to meet your mission (350 words or less).

0/350

Civic Organization Nomination Questions (Category 8 Only)
What is the civic organization's mission?
How has the organization carried out that mission by volunteering in the community?

0/250
What other services does the organization provide for the community?

0/250
Please provide a story or situation of how the organization has made an impact in the community or with your specific organization (350 words or less).

0/350

Business Organization Nomination Questions (Category 9 Only)
What agencies or nonprofits has the business volunteered with or have the employees of the business volunteered with?

0/250
Please describe the volunteer activities the business is involved in.

0/250
How does the business promote volunteerism within the work culture to have a social impact?

0/250
Please provide a story of how the business has helped make a positive change in our community (350 words or less).

0/350

Non Profit Organization Nomination Questions (Category 10 Only)
What is the non profit organization's mission?

0/250
How do you utilize volunteers within your organization?

0/250
Why are the volunteers so important to your organization?

0/250
Please provide a story or situation of how volunteers have made an impact in your organization, that has helped you reach your mission? (500 words or less)

0/500

Photos / Logos

Please use the link below to a Dropbox into which you’ll drop your photo and logo. Please title the photo of your nominee as follows:Nominator (your name) – Nominee (person/organization/business you are nominating) – Agency where the volunteering takes place. The file should look something like this: Smith-Jones-CSI For your logo, please name it Agency-logo, so that file would look like CSI-logo.
Browse Files

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By checking this box, I give permission for this Individual nomination to be shared with the Civic Service Institute at Northern Arizona University. In addition, I have obtained permission to share my nominee's photo and understand this photo may be used at the event and in materials should my nominee be chosen as a finalist.
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Civic Service Institute GEMS Nomination Form

How to Nominate

Nomination Guidelines and Criteria

Nominator Information

Nomination Categories

Nominee Information

Individual Nomination Questions (Categories 1 - 7 Only)

Civic Organization Nomination Questions (Category 8 Only)

Business Organization Nomination Questions (Category 9 Only)

Non Profit Organization Nomination Questions (Category 10 Only)

Photos / Logos