Corporate Community Service Award Nomination Form

Corporate Community Service Award

Nominated by individuals, groups, businesses and other nonprofit organizations in the community. This award honors a socially responsible company with an exemplary commitment to service in their community.

Specifics:
- The final recipient of this award is selected by VCSJ's judging committee.
- There is no minimum hour requirement.
- Self-nominations are not accepted.
- Dinner ticket is covered by VCSJ for the awardee and one guest.
- Additional tickets are available for purchase.
Deadline for submission is Friday, September 29, 2023.

Please complete and click SUBMIT at the end of the form.
NOMINEE INFORMATION

Please complete all questions.
Name*

First NameLast Name
Title*
Email*
example@example.com
Street Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Tell Us About Your Nominee

Tell us more about your nominee's service and the impact they have had in the community and/or their workplace, school, etc. What makes your nominee stand out from the others?
Please provide a paragraph or two about your Nominee.*
If possible, please share a picture of your Nominee with us:

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NOMINATOR INFORMATION
Organization Name
Your Name*

First NameLast Name
Your Email*
example@example.com
Street Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone Number*

Area CodePhone Number
EVENT AND TICKET INFORMATION
DATE: October 26, 2023

TIME: 6:00 to 9:00pm

WHERE: Auletto Caterers, Almonesson, NJ

CLICK HERE to Purchase Tickets
Should be Empty:

NOMINEE INFORMATION

Tell Us About Your Nominee

NOMINATOR INFORMATION

EVENT AND TICKET INFORMATION