Orange County NC Website
Browse       Search
r.� <br /> GOVERNOR'S 1982 STATEWIDE VOLUNTEER AWARDS <br /> INDIVIDUAL VOLUNTEER OFFICIAL SELECTION FORM <br /> CATEGORY OF AWARDS <br /> Circle Only One <br /> 1. Individual Human Service Volunteer <br /> 0 Individual Community Volunteer Leader <br /> 3. Administrator/Coordinator of Volunteers <br /> 4. Youth Volunteer <br /> 5. Senior Citizen Volunteer <br /> 6. Disabled Person Volunteer <br /> C <br /> 7. School Volunteer <br /> 8: One-to-One Volunteer <br /> Please Type• or Print <br /> o':- 1s. <br /> • <br /> (Name of Nominee selected as it should appear on award) <br /> . <br /> (Address, County, City, 2111 .de) <br /> (919) 732-4953 <br /> (Daytime Telephone!Number) j <br /> r <br /> 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 /> For several years the. nominee has rendered volunteer service as a tutor. <br /> substitute teacher, classroom monitor and serves as a part-time staff <br /> member for the Orange County After School Care Program. <br />