Volunteer Recognition Certificates

Please provide first and last name for all volunteers you would like to receive a Community Service of Excellence Certificate. Names of ALL volunteers who need to receive a certificate are due by Friday, April 5th. Do not forget to include the name of any individuals you have nominated for other awards. 

Issues with the form should be directed to Amy Wood at awood@uw.lafayette.in.us.

Primary Contact's Information

Certificate Names

Below please list the complete first and last name as you would like them to appear on the volunteer's certificate.

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