Section 1 of 1 in this document

LIFETIME VOLUNTEER NOMINATION FORM

The Lifetime Volunteer Award honors a 4-H certified leader who has been part of the Jefferson County 4-H Program for 11 or more years. The Lifetime Volunteer Award goes to someone who demonstrates exemplary service to 4-H while promoting service through volunteerism as both an opportunity and a privilege.

Phone Number

4-H Club Name of Nominee (if known):

Years in 4-H of Nominee (if known):

In the space below, please describe why you feel this nominee deserves to be honored with the Lifetime Volunteer Award.

Lifetime Volunteer Nomination Narrative

LIFETIME VOLUNTEER NOMINATION FORM

Nominator (Your) Name

Full Address

Name of Nominee: