U N I T E D WAY O F D A N E C O U N T Y
COMMUNITY VOLUNTEER AWARDS
NON PROF I T
NOM I NAT ION
F OR M
R E C O GN I Z E A N ON PR OF I T
T H AT H A S ST R ON G VOLU N T E E R
E N GAGE M E N T PR AC T IC E S
An agency’s commitment to increase the impact of
volunteers through engagement, research and funding
plays a critical role in making volunteering a core
strategic function of their organization.
The United Way Community Volunteer Awards is a great
way to recognize the nonprofit community’s commitment
to addressing critical issues through volunteerism so
Dane County is better educated, safer, and heathier.
All 501(c)3 nonprofit agencies in Dane County are
eligible to be nominated.
All nominated nonprofits will be recognized, and award
recipients will be announced at the Community
Volunteer Awards luncheon held on Friday, May 1,
2015 from 11:30am - 1:30pm at The Madison
Concourse Hotel and Governor’s Club.
DI S T I NGU I SH E D S E RV IC E
NON PROF I T AWA R D
Catholic Charities
2014 Distinguished Service Nonprofit Award
E L IGI BI L I T Y
•
Complete the nomination form and answers to the
questions in this packet that tell the story of your
nominee’s work.
•
Nominee must be a 501(c)3 nonprofit agency that
serves the community at large and engages volunteers
on some level of their organization.
•
Volunteers engaged by the nonprofit agency must
not receive any payment for their services, but may
perform service as part of work-release time or for
student course credit (reimbursements for out-ofpocket expenses, like travel, are acceptable).
•
Employees of United Way of Dane County, CUNA
Mutual Group, WKOW Channel 27, all other sponsors,
judges or their families may not participate as a
nominator or nominee.
•
Nominations for faith-based organizations and service
clubs must be for service(s) provided to the community
at large (not just for their congregation or members.)
•
Award Recipient may not be nominated for two
consecutive years.
•
Eligibility and the selection of award recipients are at
the discretion of the judges and judges’ decisions
are final.
A nonprofit will receive $250 for their organization.
2014 Community Volunteer Awards
Presented by
®
U N I T E D WAY O F D A N E C O U N T Y
COMMUNITY VOLUNTEER AWARDS
NON PROF I T
NOM I NAT ION
F OR M
1. N OM I NAT ION CAT E G ORY
Mark with an “x” the community issue that fits the nonprofit nominee’s impact area.
Improving academic achievement
Supporting early childhood development
Improving public health
Decreasing homelessness
Supporting seniors, persons with disabilities and/or their caregivers
Reducing violence and crime
Strengthening nonprofit leadership
Caring for animals
Protecting the environment
Innovating agriculture practices
Preserving arts/culture
Other___________________
2 . N OM I NAT OR I N F O
Name: _____________________________________ Affiliation: ___________________________________________
Mailing address:___________________________________________ City/state/zip:________________________________
Daytime phone: _______________________________ E-mail:_________________________________________________
Today’s date:________________Your signature:__________________________________________________________
3. NON PROF I T NOM I N E E I N F O
Nonprofit Name: _______________________________________ Phonetic spelling: _____________________________
Primary contact name:___________________________________ Number of volunteers: ___________
Primary contact phone:_________________________ Primary contact email address:_______________________________
Nonprofit nominee mailing address:_____________________________________________________________________
Nonprofit nominee city/state/zip:_______________________________________________________________________
4 . N OM I N E E PHOT O
Send a close-up, digital photo to [email protected].
If no photo is available, contact the Volunteer Center
(608-246-4380 or [email protected])
Bank of Sun Prairie
2014 Community Volunteer Award Nominee
Nominations must be submitted, delivered, or postmarked by March 13, 2015
U N I T E D WAY O F D A N E C O U N T Y
COMMUNITY VOLUNTEER AWARDS
NON PROF I T
NOM I NAT ION
F OR M
NOM I NAT ION QU E ST ION S I N S T RUC T ION S :
• Answer each of the questions below using up to four single-sided sheets.
• Typed responses are preferred, but handwritten responses are acceptable.
• When answering the questions, focus on how the agency’s volunteer engagement strategies help build their
capacity (i.e. leadership, direct service, skill based, etc.) as well as other strategies that best represents the
agency’s commitment to volunteerism.
• Since judges will not know your nominee, be thorough.
• Include details of the community needs that the agency is addressing.
NOM I NAT ION QU E ST ION S
Answer each of the following questions using up to four
single-sided sheets.
1. How does the nonprofit make volunteering a core strategic
function of the organization? In what ways does it engage
volunteers to achieve objectives, advance the mission, serve more people and affect the economics of the organization?
2. Describe how the nonprofit works with various sectors (i.e.
businesses, government, education, faith-based, etc.) to
accomplish its mission.
3. How does the nonprofit use skilled volunteers to address
community needs?
4. How is the volunteer impact measured; other than by number of volunteers and the hours served?
FREQUENTLY ASKED QUESTIONS
Who chooses the award recipients?
Recipients are selected by a group of volunteer
community leaders.
Should I tell the volunteers they’ve been nominated?
Yes! It is a great honor to be nominated for a United Way
Community Vounteer Award.
What happens after a volunteer is nominated?
After the nomination form is received at the United
Way Volunteer Center, a congratulatory letter will be
sent to the nominee. Later, the nominee will receive an
invitation to the awards luncheon on May 1, as a guest
of United Way of Dane County and event sponsors.
Are only United Way partner agencies eligible?
ANY nonprofit organization in Dane County can be
nominated as long as they meet eligibility requirements.
I don’t have a photo. What do I do?
You will be notified of dates that the nominee can come
to United Way to have their photo taken.
5. In what ways has the nonprofit invested in volunteer
management, making volunteers central to their work?
SU BM I T YOU R NOM I NAT ION BY
M A RCH 13, 2015
Mail to:
United Way Volunteer Center,
PO BOX 7548, Madison, WI 53707-7548.
Drop off at:
Anderson United Way Center
2059 Atwood Ave., Madison
Online at:
unitedwaydanecounty.org/cvaform
CVA NOMINATION CHECKLIST
Nomination form
Answers to nomination questions
Nominee Photo