Service Award Nomination Form


The Starfish Service Award will be given to a student  who has an original idea for community service and or an original way of engaging with an existing community service organization, and completes the service. To be considered for the award, nominees must be nominated by two separate nominators, one of whom cannot be related to the nominee.

 

Two independent nominations are required to compete for this award.
At least one of the nominator can not be related to you.

For example: a candidate may be nominated by a parent (related) and a teacher (not related), or a coach and a teacher (neither nominator is related to the candidate.)
Please have each nominator complete a nomination form.

 

If you are under age 13, click here to fill out a Nomination form.

If you are 13 or older,  please fill out the following Nomination form.

 

 

Nominee Information
Name of Nominee *
Name of Nominee
Phone Number *
Phone Number
Description of Service for Which Nominee is being Nominated for this award: (this service must be verifiable by someone other than the nominee.)
Name *
Name
Contact Number *
Contact Number
Nominator Information
Your Number *
Your Number