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Gladys Burns Human Services Award Nomination Form 2017

GENERAL INFORMATION

The Gladys Burns Human Service Award was established to recognize the contributions and example of its namesake, Gladys Burns.  In addition to her numerous affiliations and causes, Gladys served as the first professional staff member for United Way's predecessor organization, United Good Neighbors of Thurston County. The Board of Directors of United Way has chosen to honor Gladys by continuing the annual award that recognizes a volunteer or professional from the human services community who epitomizes Gladys' example of caring, commitment, and dedication.

United Way of Thurston County will select the winner based on the following criteria:

  • Length of service
  • Impact on community need
  • Reputation in the community
  • Leadership on community issues
  • Scope of activities

The Gladys Burns Human Service Award will be awarded at the United Way Spirit of Giving annual awards celebration on Wednesday, August 16, 2017.
The recipient will receive:

Special recognition plaque
Stipend of $500 to the nonprofit organization of the recipient's choice

NOMINATION PROCESS

For a nomination to be considered, the nomination form must be filled out completely.  Completing and returning as a Word document attachment is preferred.  An incomplete or unsigned nomination form disqualifies the nomination.
Any individual may nominate more than one candidate.  However, an individual may not nominate him or her self.
Entry forms must be postmarked or submitted no later than July 1, 2017.  
Pertinent supplementary information (no more than three pages) may be submitted with the entry form.  This may include letters of support, newspaper clips, photos, etc.  
The panel of judges may request additional information from nominees, the nominator, or an organization.
Nomination forms and supplementary information become the property of United Way of Thurston County.

Please fill out the following information regarding your nominee for the 2017 Gladys Burns Human Service Award.

Additional Documents can be mailed or emailed to Hillary Ryan at United Way of Thurston County, 1211 Fourth Ave E., Olympia, WA 98506/ hryan@unitedway-thurston.org.
 

This form can be dowloaded as a PDF here.