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Nomination Form

This form is to be completed for nominations for Volunteer of the Year, Mentor of the Year, and Student Volunteer of the Year which are to be announced at the annual Volunteer Recognition Dinner.

Volunteer of the Year: USI faculty, staff, alumni, or community member who has performed outstanding volunteer service to USI and/or community through the Volunteer USI program and who meet the following requirements:

  • Accumulated a minimum of 20 service hours from July 1, 2012 to June 30, 2013.
  • Service must be on a volunteer basis.
  • The award may be received only once.
  • Current year Volunteer USI Council members, who are on the award selection committee, are not eligible to receive or nominate candidates for the award.

Mentor of the Year: USI faculty, staff, alumni, or community member, who has mentored, a current USI student to enhance their development in their overall academic field. Candidates must be acting in a volunteer capacity through the Volunteer USI program and who meet the following requirements:

  • Accumulated a minimum of 20 service hours from July 1, 2012 to June 30, 2013.
  • Service must be on a volunteer basis. (Can't receive any monetary compensation.)
  • The award may be received only once.
  • Mentored USI student must be enrolled during some pare of the Volunteer USI year, July 1,2012 to June 30, 2013.
  • Current year Volunteer USI Council members, who are on the award selection committee, are not eligible to receive or nominate candidates for the award.

Student Volunteer of the Year: Current USI student in good academic standing, who has performed outstanding volunteer service to USI and/or the community through the Volunteer USI program and who meet the following requirements:

  • Accumulated a minimum of 20 service hours from July 1, 2012 to June 30, 2013.
  • Service must be on a volunteer basis.
  • The award may be received only once.
  • USI student must be a student during some part of the Volunteer USI year, July 1, 2012 to June 30, 2013.
  • Current year Volunteer USI Council members, who are on the award selection committee, are not eligible to receive or nominate candidates for the award.

If you'd like, you can download a blank PDF version of this form.