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Outstanding Volunteer Nomination Form
AVA Awards: Outstanding Volunteer
Name of nominee:
*
Address of nominee:
*
Telephone number of nominee:
*
Email address of nominee:
Name of nominator:
*
Address of nominator:
*
Telephone number of nominator:
*
Email address of nominator:
What is the role and remit of the organisation(s) where the volunteer contributes? Please provide as much information as possible:
*
How does he/she contribute to the organisation? Please give details of their role, length of time with the organisation and specific contribution:
*
How has their contribution made a difference to the organisation, its beneficiaries and/or the wider community? (at least 1 specific example):
*
Please give details of any challenges overcome and/or notable successes the nominee has encountered? Please give examples where possible:
*
In your opinion, why should the nominee(s) be recognised for their outstanding contribution as a volunteer?:
*
In what capacity do you know the nominee (eg volunteer, staff member, service user) :
*
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Please give the name and contact details of a referee who can be approached to verify the above information:
*
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