2025 Outstanding Volunteer Award Nominations Form

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Team Name (if applicable)

Nominee Name(Required)

First Last

Select AWARD CATEGORY(Required)

Veteran Status

Active Duty

Reserves

Retired

Branch of Service

Air Force

Army

Marines Corp

Navy

Coast Guard

Nominee Type(Required)

Individual

Team

Nominee email(Required)

Organization associated with nominee (if applicable)

Nominee Address(Required)

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code

Nominee Phone(Required)

The following refers to the person making the nomination for the Outstanding Volunteer Award

Nominator Name(Required)

First Last

Nominator Email(Required)

Organization associated with nominator (if applicable)

Nominator Address(Required)

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code

Nominator Phone(Required)

Application Questions:

As you answer these questions, think about helping us to understand how the volunteer service impacted our community. Please be specific about the service performed in 2024 when answering.

1. Please describe the volunteer's (individual or team) service for 2024 that resulted in the positive impact resulting in your nomination. Include beneficiaries of these activities (i.e., program participants, nonprofit, programs, etc.). (word limit: 250)(Required)

2. Please provide any evidence that shows the positive impact of this volunteer(s) service in 2024. Could include: testimonials from participants or other stakeholders; Facts of before and after change (Ex: increased number of beneficiaries served); Observations of specific situations or dynamics that show a change (Ex: decreased harmful behavior due to volunteer(s) involvement, increased efficiency, increased participants, etc.); or Operational measures (Ex: 10% reduction in expenses due to a new intake process designed and implemented). In addition if applicable, please include any obstacles that the nominee(s) had to overcome to serve. (word limit: 250)(Required)

3. Any additional information that you would like to share related to this volunteer service. (Optional) (word limit: 150)

To submit this nomination for the service of a Lifetime Award please provide the following information.

Note: Only individual nominations will be considered for the Lifetime award

Please Consider for Service of a Lifetime Award(Required)

Number of years nominee has volunteered in Loudoun County(Required)

Please enter a number greater than or equal to 10.

Minimum 10 years of service to be considered for this award.

Nonprofits nominee has volunteered at in Loudoun County(Required)

Please describe why you feel this nominee should be considered for the Lifetime award. Include how the volunteer service has positively impacted Loudoun County residents and nonprofits over the years. (Word limit: 300)(Required)

2025 Outstanding Volunteer Awards Nomination Form

The following refers to the person making the nomination for the Outstanding Volunteer Award

Application Questions:

To submit this nomination for the service of a Lifetime Award please provide the following information.