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2011 Community Volunteer nomination form

2011 Community Volunteer nomination form

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Published by Duxbury Clipper
2011 Duxbury Community Volunteer nomination form
2011 Duxbury Community Volunteer nomination form

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Published by: Duxbury Clipper on Feb 07, 2011
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02/07/2011

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The Duxbury CommunityVolunteer Award “2011”
The Duxbury Community Volunteer Award celebrates thespirit of civic responsibility through community service byhonoring an exemplary Duxbury citizen or citizenry groupwhose voluntary contributions of time and talent have madea positive impact on the quality of life in our town.
Please nominate a volunteer you feel deserves to be recognized. An advisory board of civic,educational, cultural and business leaders will review the nominations and select a nominee to behonored as the “Duxbury Community Volunteer” for the year 2011. Finalists and their nominators willbe invited to an awards dinner at The Village at Duxbury, where all nominees will be recognized. Pleasecomplete the information below and attach a statement describing the volunteer contributions of yournominee and how they have impacted the community.- Please print -
NOMINEE
Nominee’s name: _____________________________________ Telephone: _______________ Nominee’s mailing address: _____________________________________________________ 
(important)
NOMINATOR
Nominator’s name: ___________________________________ Telephone: _______________ Title and Organization, if appropriate: ____________________________________________ Address: __________________________________________________________________ 
(important)
IN 150 WORDS OR LESS ON BACK OF FORM OR INCLUDE A STATEMENT:
List the volunteer contributions this nominee has made to your organization or the community.Describe the impact this volunteer has made on others.Describe the lasting effect and/or ongoing involvement of the volunteer’s contribution of timeand talent.
Nominations will be accepted until 5
PM
on March 4, 2011.

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