The Arc New York 2023 Volunteer of the Year Award

Volunteer of the Year Award Nomination Form

NOMINATION DEADLINE: Friday, July 21, 2023

About the Award: This award provides the opportunity for The Arc New York to honor and recognize a volunteer member who has shown continued dedication, exemplary service, and advocacy on behalf of individuals who have intellectual or other developmental disabilities.

Eligibility Criteria:

The nominee must be a current member of the Organization
The nominee must be a member for a minimum of five (5) years. Involvement does not require consecutive years of volunteerism and may be a combination of the State and local levels
Nominee may be a Chapter or Organization volunteer (i.e. Chapter Board Member or Chapter Board of Governor)
One nomination may be submitted per Chapter
Nominations previously submitted for individuals who have not received the award, may be updated and resubmitted for consideration

Application Requirements:

Completed application
A minimum of one (1) letters of support must be included. A maximum of two letters are to be submitted.
Supporting documentation (i.e. news/newsletter articles) may be submitted if desired; no more than three supporting documents are to be submitted. Supporting accomplishments can be described within the nomination questions.

The Arc New York Volunteer of the Year Award will be presented at the October Annual Meeting.

Question Title

* 1. Nominee Information

Nominating Chapter

Name of Nominee

Nominee's Current Volunteer Role

Chapter Address

Email Address

Phone Number

Number of Years of Chapter Participation

Has This Volunteer Been Nominated Before?

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* 2. List all known volunteer activities for The Arc New York at both the State Organization and Chapter level. Please include approximate number of years of service relating to the activities.

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* 3. Describe in detail the nominee’s Chapter volunteer activities, such as committee involvement, achievements and other recognitions of the nominee, relating to the field of I/DD. Please include supporting documentation (i.e. news/newsletter clippings) where applicable.

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* 4. How has the nominee’s volunteerism this year made an impact to your Chapter?

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* 5. Contact information for person making this nomination:

Name

Title

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* 6. Digital Signature of person making this nomination - Please type your full name and the date into the field below as your electronic signature (ex. Jane Doe, 8/25/2021)

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* 7. Upload Letter of Recommendation 1

If you don't have a digital copy of your letter available at this time, you can email it separately to the address below

PDF, DOC, DOCX, PNG, JPG, JPEG, GIF file types only.

Choose File

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* 8. Upload Letter of Recommendation 2

If you don't have a digital copy of your letter available at this time, you can email it separately to the address below

PDF, DOC, DOCX, PNG, JPG, JPEG, GIF file types only.

Choose File

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* 9. Upload Additional Support Letter

Any additional comments by Chapter Board of Director, Executive Director or Program Director. This may be submitted as a separate letter in addition to the two letters of recommendation. If you don't have a digital copy of your letter available at this time, you can email it separately to the address below

PDF, DOC, DOCX, PNG, JPG, JPEG, GIF file types only.

Choose File

Please email any additional documentation or questions to:

Christina Canino
Special Projects Coordinator
The Arc New York State Office
Email: CaninoC@TheArcNY.org