Catholic Charities / Catholic Social Services

Outstanding Volunteer Award Nomination Form

Date of Nomination:
Volunteers Name:
Volunteers Address:
Volunteers Phone Numbers: work

home

Service:

Program Code:

Program:

cell

Volunteers Job Title:

Volunteers Start Date (mm/dd/yyyy):
Volunteers Service Hours to Date:
Based on the Outstanding Volunteer Award Criteria, please describe why you believe the
above named volunteer merits receiving the Outstanding Volunteer Award. (2-4 paragraphs).

Nominated by:

Staff Title:

My Program Manager supports this nomination:

Program Manager Name:

yes

no

Submit Nomination to Manager, Agency Volunteer Resources for review and vetting
------------------------------------------------------------------------------------------------------------------------------Approved By Chief Operating Officer:
yes
no
Chief Operating Officer Name: ___________________________________________
C.O.O. Signature: ______________________________________________________
Nomination Sent to CEO for review on __________________________________
Nomination Approved by CEO:

yes

no

CEO Signature: ______________________________________________________________