Service of Excellence Nomination Form March 4, 2016

Interfaith of The Woodlands announces the Service of Excellence Award, which is presented annually to five outstanding individuals in our community. The Service of Excellence Award honors individuals who have selflessly invested in our community and have greatly inspired others through their tireless work.

Each area listed below will have an honoree awarded the Service of Excellence Award. To be nominated, individuals must demonstrate a commitment to our community in making a difference through volunteering in one of the following areas:  Seniors  Youth  Fine Arts  Health  Education

Nominated individuals should meet the following criteria:  Demonstrate commitment and dedication to the specified area of service  Be a positive role model in our community  Provide leadership  Help significantly to improve lives and/or community conditions through their service  Enrich the lives of others while asking nothing in return but the satisfaction of having served  Perform their volunteer work in Zip Codes 77380-77386, 77389 & 77385 in the Village of Creekside Park and 77354 & 77355 in the Village of Sterling Ridge.

Nominee Information:

Name of Nominee

Address City Zip

Phone Email

Service Area for Nomination

Please submit this form and a one page letter including specific reasons why you or your organization has nominated this individual. Please print all information on this form and send to: Interfaith of The Woodlands Attn: Kathy Rifaat 4242 Interfaith Way The Woodlands, TX 77381 [email protected]; 832.615.8230 Entries must be received by Friday, January 22, 2016.

Nominated by: Address City Zip Phone Email An independent selection committee will review all nominations and select the Service of Excellence Award recipients based on the above criteria.