Outstanding Volunteer Nominations - 2025 Nomination Form

Distinguished Service Award Nomination Form - 2025

Town of Herndon Mayor's Volunteer Appreciation Event
Please be sure to check the spelling of your nominee's name and verify their current email addresses as this is how they will receive their invitation to the event.

For questions or help in using this form, please contact Kate Keifer at VolunteerAppreciation@herndon-va.gov or 703-435-6800 x2120

Eligibility Requirements:
1. Nominees shall have provided extensive community-wide support through volunteer efforts extending over several years or shall have volunteered for special projects involving considerable leadership, time and effort. Candidates may have volunteered in typical assignments, but through their leadership and dedication, have produced exceptional results. This service shall have been performed in the Town of Herndon and/or provided direct benefit to the Town of Herndon.
2. Volunteer efforts may be in several different organizations with a minimum of two years of service.
3. Previous Distinguished Service honorees are reconsidered after a ten-year period.
Nominations must be submitted by Monday March 17, 2025.
Nominee's Name*

First NameLast Name
Nominee's Organization*
Nominee's Email*
example@example.com
Please describe the nominee’s demonstrated commitment in the area of exceptional service and community impact benefitting the citizens and community of Town of Herndon:*
Your Name*

First NameLast Name
Your Email*
example@example.com
Your Phone Number*
Please enter a valid phone number.
Should be Empty:

Distinguished Service Award Nomination Form - 2025