Jefferson Awards

Nomination Form

Please limit your nomination to 350 words. All parts of your nomination must be complete for judges to review.

Your description should be as specific as possible. Please include:

  • The name of the organization for which the nominee volunteers and the number of hours volunteered each month.
  • A description of the volunteer duties the nominee performs.
  • An approximation of the number of people who are helped or affected by the nominee through their volunteer work and a description of how their efforts impact the community.
  • A description of anything unique, outstanding or heroic about the nominee's actions and character (i.e. acts of vision, dedication, courage, tenacity, etc.).
  • If available, a link to the web site of the organization for which the nominee volunteers.

Click to read a few sample nominations

If you have any questions about the nomination process, please call 412-263-3518.


I nominate the following as a Jefferson Awards Nominee:

Name of individual or volunteer group*

Address *

City *, State *, Zip *

Telephone (daytime) *

Telephone (evening)

E-mail

Age Range *


Please complete the following about your nominee's organization:

Non-profit organization *

Name of executive director or group leader *

E-mail Address *

Address *

City *, State *, Zip *

Website address

Telephone *


Please complete the following about yourself:

Name *

Address *

City *, State *, Zip *

Telephone (daytime) *

Telephone (evening)

Email *

Relation to nominee *

How did you hear about this program:
post-gazette.com Brochure mailing Post-Gazette Ad
United Way Other