Esl Jefferson Award Submission Form

Posted at: 04/03/2009 10:26 AM | Updated at: 01/04/2012 4:06 PM

2012 Jefferson Awards
Seeking Unsung Heroes And Outstanding Community Volunteers

News10NBC is proud to be able to honor the volunteers that make our community a better place to live.

News10NBC wants you to nominate someone you think should be recognized for their outstanding volunteer work in the community. We are looking for people who tirelessly give of themselves to help others.

News 10NBC and ESL will highlight five of these volunteers in March and April. One will have the opportunity to go to Washington D.C. for the National Jefferson Awards Ceremony in June.

Please fill out the form below to nominate an extraordinary volunteer that you know for the 2012 award. Or download the PDF form and mail your entry in)

Thank you for your interest in the ESL Jefferson Awards!

Deadline for submission is February 10th
 

Nominee:
Address:
City:
Zip code:
Phone: (home)
Phone: (work)
Phone: (cell)
E-mail address:
Best days/times to call:
Nominator:
Address:
City:
Zip Code:
Phone: (home)
Phone: (work)
Phone: (cell)
E-mail address:
Best days/times to call:
Is this person related to an employee of ESL or News 10NBC?:
Tell Us About Your Nominee

 

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