<p> CARLISLE BARRACKS VOLUNTEER AWARD NOMINATION FORM</p><p>PLEASE INDICATE THE TYPE OF AWARD FOR WHICH INDIVIDUAL / AGENCY IS BEING NOMINATED</p><p>____Certificate of Appreciation ____Letters of Commendation ____Volunteer Youth of the Quarter Award (per agency) ____Star Letters ____Volunteer Youth of the Year (per agency) ____Citizenship Award for Humanitarian ____MWR Certification of Appreciation Service ____Volunteer of the Quarter Award (per agency) ____Commander's Award for Public Service ____Commander's Award for Public Service ____Volunteer of the Year Award (per agency) ____Civilian Award for Humanitarian Service ____Certificate of Appreciation for Patriotic Civilian Service</p><p>PART I #______(For office use only) NAME OF NOMINEE ______RANK (if military) ______VOLUNTEER AGENCY______ADDRESS______</p><p>WORK PHONE NUMBER ______TOTAL HOURS OF VOLUNTEER SERVICE______NAME OF NOMINATOR ______SIGNATURE OF NOMINATOR______</p><p>PART II #______(For office use only)</p><p>1. LIST SPECIFIC CONTRIBUTION(S) MADE BY VOLUNTEER/AGENCY DURING PERIOD LISTED: (ADDITIONAL SPACE PROVIDED ON REVERSE SIDE)</p><p>FROM: ______TO: ______</p><p>2. HOW DID THIS VOLUNTEER/AGENCY IMPROVE THE QUALITY OF LIFE AT CARLISLE BARRACKS? ______15 FEB 08 CARLISLE BARRACKS VOLUNTEER AWARD NOMINATION FORM</p><p>PART III #______(For office use only)</p><p>1. IN THE SPACE BELOW, PROVIDE PROPOSED CITATION (NOT TO EXCEED 9 LINES), DESCRIBING THE INDIVIDUALS OR AGENCY'S CONTIBUTION(S). INCLUDE FULL NAME, DATES OF WORK, NAME OF ORGANIZATION AND SPECIFIC ACCOMPLISHMENTS. ______</p><p>(ADDITIONAL SPACE FOR PART II) ______</p><p>2. RETURN NOMINATION FORM TO THE INSTALLATION VOLUNTEER COORDINATOR, ARMY COMMUNITY SERVICE, BLDG 46, ASHBURN DR, CARLISLE BARRACKS, PA 17013</p><p>PRIVACY ACT STATEMENT: PRESCRIBING DIRECTIVE: AR 608-1. AUTHORITY: TITLE 10, USC, SECTION 3012. PRINCIPAL PURPOSE: TO RECORD ESSSENTIAL BACKGROUND INFORMATION</p><p>ON VOLUNTEERS. ROUTINE USES: COORDINATING VOLUNTEER SERVICES AT CARLISLE BARRACKS, PA, RECRUITING VOLUNTEERS AND PLANNING VOLUNTEER AWARD PROGRAMS. </p><p>MANDATORY OR VOLUNTEER DISCLOSURE AND EFFECTS ON INDIVIDUAL NOT PROVIDING INFORMATION IS VOLUNTARY. NOT PROVIDING INFORMATION WILL PREVENT KEEPING A </p><p>RECORD OF INDIVIDUAL VOLUNTEER QAULIFICATIONS AND SERVICES AND MAY PREVENT VOLUNTEERS FROM RECEIVING AWARDS.</p><p>15 Feb 08</p>