Community QB

Baltimore Ravens Community Quarterback Award 2010 Nomination Form

Thank you for your help in recognizing a deserving volunteer in the community. Please be as thorough as possible in the completion of the below information.

Please note, applications must be submitted online, emailed or postmarked by Friday, October 22, 2010.

Nominee Information

Use this space to provide basic information about the individual you are nominating and the associated nonprofit organization.

First Name*	Last Name*

Mailing Address*

City*	State*

Zip Code*

Email Address*	Telephone #*
	(example: xxx-xxx-xxxx)
Name of Nonprofit (501c3 or 509) Organization*

Mailing Address of Nonprofit Organization*

City*	State*

Zip Code*

Telephone # of Nonprofit Organization*	Nonprofit Organization's Website
(example: xxx-xxx-xxxx)	(if applicable)
Description of Nonprofit Organization and Mission*

Nominator Information

If you are nominating yourself, please leave this section blank.

First Name	Last Name

Mailing Address

City	State

Zip Code

Email Address	Telephone #
	(example: xxx-xxx-xxxx)
How long have you known the nominee?	In what capacity do you know the nominee?

Description of Nominee's Volunteer Work

This section must be completed in full. If you are nominating yourself, please describe your experiences as a volunteer and your qualifications for the Community Quarterback Award. If you are nominating another person, please describe what makes that volunteer deserving of recognition.

Please describe the nominee's volunteer work. Discuss the capacity in which the nominee has served the non-profit and the length/duration of service.

How has the nominee improved the lives of others in the community through his/her volunteer work? Please describe the need for and impact of the services the nominee provided.

In what ways does the nominee exemplify the characteristics of leadership and dedication in their volunteer work? How has he/she demonstrated their commitment to the community?

What sets the nominee apart and makes him/her deserving of recognition? If applicable, please include any adversity the nominee has faced in his/her volunteer work.

Is there anything else that you would like to tell us about the nominee?

* Indicates required field

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