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•• <br /> GOVERNOR'S 1982 STATEWIDE VOLUNTEER AWARDS <br /> • INDIVIDUAL VOLUNTEER OFFICIAL SELECTION FORM - <br /> CATEGORY OF AWARDS <br /> Circle Only One <br /> . . <br /> 1. Individual Human ServiCe Volunteer- <br /> 2. Individual Community Volunteer Leader <br /> 3. Administrator/Coordinator of Volunteers <br /> • <br /> 4. Youth Volunteer <br /> 5. Senior Citizen Volunteer <br /> 6. Disabled Person Volunteer <br /> 7. School Volunteer <br /> 8. One-to-One Volunteer <br /> Please Type or Print <br /> Walter Trott He is also a senior citizen <br /> (Name of Nominee selected as it should appear on award) <br /> 62 Willow Terrace Oran.e Count Chasr_ <br /> (Address, County, City, Zip Code <br /> 967-3658 <br /> (Daytime Telephone Number <br /> 4 Description of Service <br /> Briefly describe the contribution this nominee has made, how it has affected <br /> the community and why this nominee should represent your county in this <br /> category. (If additional space is needed, please attach sheet) <br /> Sc Dr. v. . <br />