Qualifications

Individuals should be at least 60 years of age and volunteer a minimum of 25 hours per year. Nominations are due March 14, 2022. If you have any issues with the form, please contact Halie Dampf: halie.dampf@ltgov.mo.gov or 573-751-1088.

NOMINEE INFORMATION

SPONSOR INFORMATION

Click or drag files to this area to upload. You can upload up to 2 files.
Please upload a write-up of the nominee's volunteerism and community involvement. Be sure to include information that illustrates a difference the nominee has made and how their efforts have favorable impacted their fellow citizens, organizations and/or the community in general.