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1 Mayor’s Volunteer of the Month Award The Mayor’s Volunteer of the Month Award is a newly-created opportunity to recognize Marysville citizens for their volunteer contributions and commitments to community service. Volunteers from all areas of Marysville are eligible. The voluntary service demonstrated should be unpaid and not an employment responsibility. Volunteer service helps to conserve taxpayer dollars. Mayor Jon Nehring, who established the recognition program, will honor Volunteer award recipients at regular City Council meetings on either the 2nd or 4th Monday of each month at 7 p.m. in the Council Chambers, 2nd Floor City Hall, 1049 State Ave. Eligibility and Criteria for the Award The Volunteer of the Month nominee should be committed to making the City of Marysville a better community through voluntary personal service to its citizens to meet community needs. The nominee will be considered based on initiative and good work achieved through volunteer service. Nominations should be made for direct service, board service or administrative volunteering. Individuals may be nominated by an individual, agency, corporation, or organization. Nominees must be residents of Marysville. Tips for Completing the Nomination Form Your essay may want to address one or more questions such as: How many hours does the nominee volunteer per month? Describe the need for the volunteer’s service. Did the nominee start a new program, use new methods to solve problems, initiate activities, or build collaboration with other organizations? Explain. Describe the impact the nominee’s service made to the community. You are encouraged to interview your nominee or get a quote from them on their thoughts about volunteerism, and giving back to their community. You can gain a deeper level of understanding about their service, reasons, motivation, and unique challenges or circumstances they face, or faced, when volunteering. Because this award program is ongoing, there is no deadline for submitting nominations. SEND TO: Executive Asst. Lynn Schroeder, Office of the Mayor 1049 State Ave. Marysville, WA 98270 or Fax to (360) 651-5033 You may retrieve the form via the link below: http://marysvillewa.gov/DownloadFTP/Volunteer_of_the_Month_Application.pdf ---PAGE BREAK--- 2 2010 Mayor’s Volunteer of the Month Award Official Nomination Form Nominee: Indicate Mr., Mrs., Ms. Name Daytime Phone Home Address City Zip Employer Email Please check the appropriate age classification for your nominee: Youth (18 and under) Young adult (19-25) Adult Senior (60 and over) Verification: To qualify, a nominee must have one reference who may be contacted to verify the scope and extent of the nominee’s activities. Reference should be a person familiar with the community service activities for which the nomination is made and should not include either the nominee or any persons related to the nominee. The reference below must be someone other than the nominator. Reference: Name Daytime Phone ( ) Address City Zip Agency/Organization Nominator: Name Daytime Phone ( ) Address City Zip Agency/Organization Signature ---PAGE BREAK--- 3 2010 Mayor’s Volunteer of the Month Award Please use the remainder of the page to highlight how your nominee volunteers to serve our community (format can be either typed or handwritten). Please limit your comments to 300 words or less; however, if more space is needed, one additional sheet of paper will be accepted. Do not submit supplementary material, such as news or magazine articles, awards or personal transcripts. When completed, please review nomination form. Check the box that best fits the nominee’s volunteer activities. Parks Business Church Special Needs Education Elderly Health/Hospitals Food Bank Shelter/Housing Neighborhood Sports Youth Arts Philanthropy Miscellaneous