Rotary Unsung Hero Service Award Nomination

UNSUNG HERO SERVICE AWARD NOMINATION FORM
We are seeking nominations for our Unsung Hero Service Award. An unsung hero is someone who has made a positive and substantive contribution to his/her community or workplace, and yet does not seek recognition. This exemplifies Rotary’s motto “Service above Self”. Nominees are to be non-Rotarians, residents of North Bay or surrounding communities, and be 18 years of age or older.

Please submit this form by Septmber 21, 2024.

NOMINATED BY
Nominator's Name*

First NameLast Name
Nominator's E-mail Address*
Nominator's Home Phone Number

Area CodePhone Number
Nominator's Cell Phone Number

Area CodePhone Number
Relationship to Nominee*
Reason For Nomination*
Please outline the key reasons for nominating this individual.
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- Click on Print Form if you wish to download/print a copy for your records.
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- Please click Send Nomination to submit your form.
Should be Empty:

UNSUNG HERO SERVICE AWARD NOMINATION FORM