The Gift of Time Nomination Form

Nominations are now closed. We now await the announcement of this year's award recipients at the Gift of Time luncheon.

Nominee Information:
Name
Age
Street Address
City
State
Zip Code
Phone Number (primary)
Phone Number (secondary)
E-mail Address
In 500 words or less, tell us why your nominee's recent contributions and service to the community should be recognized. What makes him or her special? How are they making a difference in the community?
List the organizations your nominee is involved in and briefly describe his or her service with each group, as well as the number of volunteer hours contributed to each group.
Nominating Organization/Individual Information:
Organization or Individual Name
Contact Person
Street Address
City
State
Zip Code
Phone Number (primary)
Phone Number (secondary)
E-mail Address

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Contact Us

Gift of Time
PO Box 3947
Springfield, MO 65808-3947 417.862.3586
Fax: 417.862.2129