Sioux Empire Volunteer of the Month Nomination Form
Volunteer of the Month is an area-wide award program by the Helpline Center in the Sioux Empire. We are currently accepting nominations for Q4 of 2026 (October - December). Nominations will be open September 1 - September 30.
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
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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
Back
Next
Please answer the following questions.
If your nominee is selected, the information provided here will be listed in a nominating statement given to the nominee and shared on the Helpline Center social media and website. Please use complete sentences
What volunteer activities did the nominee perform?
*
How long has the volunteer been serving and how often do they volunteer?
*
Why should this person win a Volunteer of the Month Award?
*
Submit
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