Community Award Nomination Form

Silent Servant
Community Award Nomination

Nomination Instructions:

The award is ongoing, therefore there are no deadlines to submit a nomination.
Please review the guidelines, listed on the main Silent Servant Award page, to verify the nominee qualifies for the award.

To nominate an individual for the Community Silent Servant Award, you may either:

Submit the electronic form located below (preferred method) or
Contact the program Coordinator at info@prmfoundation.org to receive a hard copy of the form.

Once a nomination has been received, you may be contacted to provide additional information. All nominations that meet the award criteria will be submitted to the PRMF Board of Directors for vote. Please allow 2-4 weeks for this process.

Note: If you represent a charitable organization which has several volunteers worthy of the SSA, it is best to choose the most deserving as your single nominee.

Community Silent Servant Award
Online Nomination Form
* denotes required fields
NOTE: this form is NOT for Student Nominations, please use the nomination form under the Student tab.

* Indicates required field

NOMINEE INFORMATION:

Name of Nominee *

First

Last

Phone Number *

Email *

City they reside *

State *

NOMINATED BY:

Name *

First

Last

Title/Organization you represent (if applicable) *

Phone Number *

Email *

City *

State *

How did you learn about the Silent Service of this nominee? *

Please tell us their "story" including information such as:

How is the nominee Silently Serving?
Length of Service
What led them to the organization they are serving
What impact it has had on those they serve

Comment *

Please list any other service work you are aware of or if they have paid employment elsewhere. *

Has the individual received any compensation, in any form, for their service? *

How old is the individual? (approx age is fine) *

Other than yourself, please list another source who can verify the service of the nominee. Please include their contact info. *

Feel free to provide any personal details about the Silent Servant you feel worthy of sharing. *

Will the nominee be receptive to a public announcement of their selection and honorarium? *

Submit

Silent Servant
Community Award Nomination

Nomination Instructions:

Community Silent Servant Award
Online Nomination Form
* denotes required fields
NOTE: this form is NOT for Student Nominations, please use the nomination form under the Student tab.

ORGANIZATION

SILENT SERVANT AWARDS

Silent ServantCommunity Award Nomination​

​Nomination Instructions:

Community Silent Servant Award​Online Nomination Form* denotes required fieldsNOTE: this form is NOT for Student Nominations, please use the nomination form under the Student tab.

ORGANIZATION

SILENT SERVANT AWARDS

Silent Servant
Community Award Nomination

Nomination Instructions:

Community Silent Servant Award
Online Nomination Form
* denotes required fields
NOTE: this form is NOT for Student Nominations, please use the nomination form under the Student tab.