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Distinguished Service Award 
Information & Nomination Form

Please complete and submit the nomination form and letter of recommendation below by Friday, January 25, 2008.  In order to insure fairness, nominations received after the deadline will not be accepted. For mail nomination forms or for more information, call Michael Gaffney, Vice President Marketing, 330.643.5532, or email mgaffney@uwsummit.org

Intent: To recognize individuals who consistently demonstrate the highest degree of interest, personal dedication, and service in a voluntary capacity to the improvement of health, welfare, and education in Summit County.  It is the highest volunteer honor given by this United Way.

Eligibility: Any individual who displays the characteristics consistent with the intent of the award are eligible. Nominees should live and/or work in Summit County and should have demonstrated significant service to a variety of human service agencies or programs that directly impact social service issues for which the entire community benefits. Due to the active, ongoing nature of the award and its intent, candidates nominated posthumously will not be considered. Preference is given to nominees with a history of volunteer service to United Way and/or affiliated agencies.

Note: Only nominations received this year will be considered.  If someone you nominated previously has not received the DSA, we encourage you to re-nominate that individual.

The award will be presented at United Way of Summit County's 89th Annual Meeting to be held Wednesday, April 2, 2008.

Click here to see past Distinguished Service Award Winners

NOMINATION FORM

I am honored to nominate the following individual for the 
Distinguished Service Award:

Name
Address

City/State

 Zip

Phone

Email address

The nominee's volunteer involvement has included:
United Way and its affiliated agencies:

Service at other area nonprofits:

Approximately how many years has the nominee been volunteering?
Years

Include references from other non-profit organizations of which you might be aware.  (References could be typed in the space provided below, emailed to mgaffney@uwsummit.org or mailed to DSA Nomination, United Way of Summit County, P.O. Box 1260, Akron, OH  44309-1260)

LETTER OF RECOMMENDATION

Your information:
               
Your Name

Title
Organization
Address
City/State
Zip
Phone
Email
Dear Distinguished Service Award Nomination Committee,   
This nominee is deserving of United Way of Summit County's 
highest volunteer honor because...

 

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