2026 Black Hills Volunteer of the Month Nomination Form
Volunteer of the Month is an area-wide award program sponsored by the Helpline Center in the Black Hills.
Nominee Name
*
First Name
Last Name
Pronunciation of Nominee's First and Last name
Nominee Home Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Nominee Phone Number
-
Area Code
Phone Number
Nominee Email Address
example@example.com
Nominating Agency
Person Submitting Nomination
*
Nominator Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Nominator Phone Number
*
-
Area Code
Phone Number
Nominator Email Address
*
example@example.com
Please answer the following questions.
What volunteer activities did the nominee perform?
0/150
How long has the volunteer been serving and how often do they volunteer?
0/150
Why should this person win a Volunteer of the Month Award?
0/200
Submit
Should be Empty: