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"Service Above Self" Award Nomination

The ‘Service Above Self’ Award was created in 1964 to recognize community individuals or organizations for their unwavering and dedicated service to the community. The award may be granted to any member/organization of the community. The recipient is one who seeks out service opportunities for service sake, displays high ethical standards, applies the ideal of service to all in which he/she is involved, and strives to achieve understanding and goodwill through his/her actions. Nominations are due no later than April 15 of each year.

Nominee Information:
First Name
Last Name
Organization
Street address
Address (cont.)
City
State
Zip Code
Work Phone


Describe how this nominee exemplifies the Rotary motto of 'Service Above Self'
through their personal, business, and community life.


Provide the name and phone number of a contact who knows the nominee well and
who may be able to provide additional information.

Name
Phone


Nominating Rotarian Information:

Name
Phone


Copyright Fremont Rotary Club
Last revised: November 30, 2006