The Bill Thomas Park Volunteer Award Nominee Name First Last If Nominee is a GroupEnter group name and contact person.Nominee Mailing Address* Street Address Address Line 2 City AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Nominee Email Nominee PhoneThe Nominee is:* An Individual A Group Written Nomination Statement*Document upload (one): A written nomination statement (not more than two pages in length) that describes the voluntary activity, including the time committed, the type of work activity involved, and the resources employed (including other volunteers). The evidence presented must address how the activity and accomplishment was exemplary, sustainable, and of extraordinary impact or importance. It should also describe and document the extent to which the activity has and will continue to benefit Arlington’s parklands, natural resources and habitats, and outdoor public spaces. Written Stewardship Statement*Document upload (one): A written stewardship statement (not more than one page in length) that contains a brief description of the nominee’s role and individual initiative displayed while conducting the voluntary activity. It should also address the nominee’s steward-leader role in the community by discussing how the voluntary activity exemplifies courtesy, cooperation and respect with the public, other volunteers and County staff. Supplemental Exhibits Drop files here or Accepted file types: pdf, jpg. Document upload (up to five): Pertinent, supplemental exhibits, such as documentation with photos, records or other written materials, media accounts, and relevant biographical information. Supplemental exhibits that are not or cannot be digitized may be hand-delivered or postmarked by February 5, 2021 to: Arlington County Department of Parks and Recreation Attn: Laura Barragan 2100 Clarendon Blvd Suite 414 Arlington, VA 22201 NominatorNominator Name* First Last Address of Nominator* Street Address Address Line 2 City AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Nominator Email Nominator Phone* To my knowledge, I certify the information in this submission to be accurate. Signature of Nominator*Date* Date Format: MM slash DD slash YYYY The Committee is not responsible for returning applications and supporting materials. Requests for their return will be considered if appropriate arrangements are made in advance. If a nominee is not selected in the year of nomination, the nominator (or an alternate nominator) may resubmit the same nominee for consideration in the following year. The resubmission may include a new nomination statement, stewardship statement, and exhibits. Alternatively, the resubmission may include the original statements and exhibits, supplemented by additional statement content that describes activities and results that happened during the year between original and current application deadlines. However, as a matter of policy, the committee does not provide feedback about the selection process or evaluation of individual applications that have been reviewed. PhoneThis field is for validation purposes and should be left unchanged.
