Eastern Kentucky PRIDE

Personal Responsibility in a Desirable Environment

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Volunteer of the Month Form

You may fill out the form below to submit a nominee for Volunteer of the Month or download the Volunteer of the Month Nomination Form (PDF) and fax it to 606-677-6055.

Nomination Form

Volunteer of the Month Form

About the nominee

(Paid employees are not eligible for consideration unless service is well above and beyond the description of their regular duties.)
(Describe in detail the service you feel is noteworthy)
(Need not be limited to month nominated.)
(If recorded)
(List actions or endeavors that show a pattern of volunteerism. This program recognizes individuals who routinely "give back" to their communities.)
(Any other information you feel strengthens your nomination and introduces your nominee.)

About the person submitting the nomination


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