Nominate someone you know for a local community award.

Do you have a relative, a friend or a co-worker who is having an impact in your local community? In every neighborhood, there are “Unsung  Heroes” – volunteers and paid professionals who go well beyond their expected duties – and we’d like you to help us recognize them.

The nomination process is simple. Fill in the form below, telling us what makes the person that you’re nominating special. What distinguishes them as an individual, and how does their actions benefit the lives of others and the local community.

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Please limit your nomination to 300 words. All parts of your nomination must be complete for judges to review.

Your description should be as specific as possible. Please include:

  • The name of the organization(s) for which your nominee volunteers.
  • The number of hours your nominee volunteers each month.
  • A description of how his or her efforts impact the community.
  • A short story that demonstrates the character and qualities of the individual and his or her volunteer efforts.
  • If available, a link to the website of the organization for which your nominee volunteers.

I nominate the following as a Jefferson Awards Nominee:

Name *

Address *

City *, State *, Zip *

Telephone (daytime) *

Telephone (evening)

Age Range *

Contact to verify the accuracy of the nomination information:

Non-profit organization *

Name of contact person *

Name of Executive Director *

Address *

City *, State *, Zip *

Website address

Telephone *

Please complete the following about yourself:

Name *

Address *

City *, State *, Zip *

Telephone (daytime) *

Telephone (evening)

Email *

Relation to nominee *

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