2024 Heart of Gold Award Nomination Form

2025 Heart of Gold Award

Honoring Exceptional Volunteers
The importance of volunteers in our community cannot be overstated. The Heart of Gold Award celebrates individuals in LaGrange County whose volunteer service has made a meaningful and lasting impact.

This award is reserved for those who give their time and talents freely — not as part of their job responsibilities, but out of a genuine commitment to helping others. While many contribute greatly through their work, this recognition is specifically for volunteerism.

Nominations are limited to individuals only; group, family, or previous recipient nominations will not be accepted.

The deadline to submit nominations is September 5, 2025.

Nominees will be invited to attend the Celebration of Philanthropy Reception on October 16, from 5–7 p.m. at the Dallas Lake Park Lodge.
Nominator Information
Your Name*

First NameLast Name
Your Phone Number*
Your E-mail*
example@example.com
Your Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Nominee Information
Nominee's Name*

First NameLast Name
Nominee's Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone Number*
Nominee's E-mail Address
example@example.com
Your relationship to the nominee*
Nominations will not be accepted for family members.
Tell us about your Nominee
Please provide detailed information and specific examples of the nominee’s volunteer service.
Why are you nominating this person for the Heart of Gold Award?*
What kind of volunteer work has the nominee done?*
Share a story or example that highlights the nominee's impact.*
Supporting Material: Optional
Upload a photo of your nominee (if you have a great one)

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Additional Information - attach letters of support or media coverage

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Would you be willing to speak more about this nominee if we have questions?

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How did you hear about the Heart of Gold Award?
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2025 Heart of Gold Award

Nominator Information

Nominee Information

Tell us about your Nominee

Supporting Material: Optional