Leaders in Service 2025 Nomination Form

Leaders in Service 2025 Nomination Form

Sponsored by the Rotary Club of Wilmington
To recognize individuals who made an outstanding contribution to the Wilmington Community through Service Above Self. At the same time, raise funds to support the Wilmington Rotary Club's projects to make our community a better place to live, work, and raise a family.

Deadline for Nomination Submission January 15, 2025.
Your Name

First NameLast Name
Your Phone Number
Please enter a valid phone number.
Your Email
example@example.com
Date

MonthDayYear
Date
Nominee Information

First NameLast Name
Organization
Job Title
Number of Years
Business Sector

PrivateGovernmentNonprofit
Rotary Area of Focus

Peace and Conflict ResolutionDisease Prevention and TreatmentWater and SanitationMaternal and Child HealthBasic Education and LiteracyEconomic and Community DevelopmentEnvironment
Describe Why You are Nominating This Person
Should be Empty: