Form Preview

Community Service Award Application

Community Service Award Application

Community Service Award Nomination Criteria

Award recipients will have demonstrated an impact upon individuals and/or community through their commitment to volunteer time and effort. This award recognizes an individual who graduated from the Montoursville Area School District High School no less than twenty (20) years prior to the nomination year.

Nominator: Please provide the following:

  • Submission of this Nomination Form
  • Letter of support/overview/or summary describing specifically how this nominee has demonstrated impact on the community through their business success, their commitment to philanthropy, community service and volunteerism, or on employing local high school graduates.
  • Weblinks to publications, accomplishments or any other information that demonstrates the nominee’s qualifications for distinction.
  • Photo of the nominee, if possible (not required at this time)

Nominee Information

Nominator's (Your) Information

Is the Nominee aware of this nomination?
I certify, to the best of my knowledge, that the information I have provided is accurate.
By signing my name above, I am electronically signing this application.

Reminder
All materials must be received no later than September 1st to be considered.

MASD Foundation Board members, Selection Committee members and their immediate family members are not eligible for any of these awards.


MASD Foundation
PO Box 235
Montoursville, PA 17754

Click on the Submit button below to send to the Foundation

Upload a letter of support, overview or summary here:
Maximum upload size: 25.6MB