Community Silent Servant Award - Nomination Form

A nomination can be submitted by a Nominator at any time of their choosing.

First, carefully review the Award Guidelines set forth on the Community Silent Servant Award main page. Nominations that do not meet the guidelines will not be accepted.

This form is used to nominate a single person for the Community Silent Servant Award only.

There are two available options to submit a nomination:

1. Preferred method: Complete and submit the form electronically.
2. Hard Copy: Contact the Program Coordinator at info@prmfoundation.org to request a “hard copy” of the form.

Once this nomination has been received by the Foundation, you may be contacted to provide additional information.

When a nomination appears to meet all the guidelines set forth on the main Community Silent Servant Award page, it will be submitted to the Board of Directors for review. The Nominator will be notified of the Board’s decision.

Note: Charitable organizations may submit one nomination per year.

Online Nomination Form

All fields required.

Nominee Information
Name of Nominee*
First Last
Phone Number*
Email*
City where they reside*
State*

Nominator Information (You)
Name*
First Last
Your Phone Number*
Your Email*
If you represent an organization, provide 1) name, address and phone of the organization, and 2) your position.*
City*
State*

How did you learn about the Silent Service of this Nominee?*
Please compose a statement about your Nominee that can be used in a press release and a website posting.*
Include “who, what, where, when, why”. Additionally,
• How long they have been serving and frequency of their service.
• The value of their service to others.
What media outlet(s) serve your local community?*
Does the Nominee receive any compensation for their service you describe?*
What is the estimated age of the person you are nominating?*
Provide the name, phone number and position of a person who can verify the service of the Nominee.*

Will the Nominee be receptive to a public announcement of their selection and honorarium?*
What public forum would be utilized for the presentation?*
Who would represent the Foundation as the “presenter” of the award?*
When do you estimate that the award be presented?*
Who will provide the Foundation with a photograph of the Award Recipient (with award)?*
Name and address of person the Foundation should mail the award to.*
Feel free to provide any personal details about the Silent Servant you feel worthy of sharing.*
*
- Please confirm that all sections of this form have been completed before submission.

There are many wonderful people serving today to the benefit of society. Several of these servants are worthy of being acknowledged, recognized and awarded. We are hopeful that you will encourage other individuals/organizations to become a Nominator as well. Thank you for the kind and gracious thoughtfulness you are extending to your Nominee and your community.

Peter R. Marsh Foundation

Community Silent Servant Award - Nomination Form

Online Nomination Form

Nominee Information

Nominator Information (You)

The Peter R. Marsh Foundation Board of Directors