2023 Wertheimer Fellow for Excellence in Volunteerism Award Nomination - The Community Foundation of Frederick County

Please complete this form in its entirety if you wish to nominate a community volunteer (18 years or older) for the 2023 Wertheimer Fellow for Excellence in Volunteerism Award. All nomination forms must be submitted by May 31, 2023. You will receive a confirmation email once form is submitted. If you have any questions, please contact our office at 301.695.7660. Thank you!

Name of Nominee(Required)

First Last

Address of Nominee(Required)

Street Address Address Line 2 City State ZIP Code

Phone number of Nominee(Required)

Email address of Nominee(Required)

Name of person nominating volunteer(Required)

First Last

Address of person nominating volunteer(Required)

Street Address Address Line 2 City State ZIP Code

Phone number of person nominating volunteer(Required)

Email address of person nominating volunteer(Required)

Describe the nominee's volunteer service. What are the nominee's most notable achievements?(Required)

What are the qualities - the actions, services, and contributions - of your nominee that makes him or her such an outstanding volunteer?(Required)

How has his or her deed, action, and caring improved our community?(Required)