Civic Light Award Intent to Apply

Civic Light Intent to Apply

Please note that this pre-application must be approved by committee and meet eligibility criteria before you may submit an official application.
Applicant Name

First NameLast Name
Email
example@example.com
Nominator Name

First NameLast Name
Nominator Email
example@example.com
1. Organization you plan to collect service hours with: (please list separately)
2. Organization you plan to collect service hours with:
3. Organization you plan to collect service hours with:
4. Organization you plan to collect service hours with:
Disclaimer: Certain activities and organizations may be deemed ineligible for this recognition. ServMO will reach out to confirm eligibility and share next steps.
Should be Empty:

Civic Light Intent to Apply