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Kettering
Mayor's Award for Adult Volunteer Nominations until March 1, 2026
Name of Nominee
*
Required
First
Last
Address
*
Required
Street Address
Address Line 2
ZIP / Postal Code
Phone
Work Phone
Description of Volunteer Activity
*
Required
Please include the following information: When and where the volunteer activity took place. What the duties of the volunteer activity include. Why this volunteer deserves the award. What makes this nominee outstanding.
Name of Nominator
First
Last
Address
Street Address
Address Line 2
ZIP / Postal Code
Phone
Work Phone
Email
Reference
First
Last
List someone familiar with accomplishments of nominee.
Address
Street Address
Address Line 2
ZIP / Postal Code
Phone
Work Phone
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