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City of Lynchburg

sdcandm@lynchburgva.gov

900 Church Street, Lynchburg, VA, 24504, US

434-455-3800

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Nominate an Older American who Strengthens Our Community

DEADLINE for Nominee Application May 6, 2022 at Midnight

The awards will be announced in a local press release and featured on the Parks & Recreation website, and on our social media pages. A formal award ceremony and celebration will be held on May 27, 2022. These awards honor older Americans within the community on their accomplishments in the following fields: Sports, Arts, Business/Entrepreneurship, STEM, Education, Community Service/Volunteering, Activism, etc. 

NOMINEE QUALIFICATIONS

  • The citizen has to be 50 years of age or older.
  • The citizen must live in Lynchburg or the surrounding area.
  • LPRD awards committee has the right to redirect entries into appropriate categories. 

SELECTION CRITERIA  (Please list the following in a summary.)

  • Awards and accomplishments
  • Occupation (if retired, their previous occupation)
  • Number of years they have lived in Lynchburg or surrounding area
  • Significant community contributions 

ACCOMPLISHMENT CATEGORIES (Select one category per entry)

  • Sports
  • The Arts
  • Business/ Entrepreneurship
  • STEM
  • Education
  • Community Service
  • Activism
  • Other (describe)

NOMINATION PREPARATION

  • Please attach a single document write-up of 1000 words or less, that clearly identifies each selection criteria as your formal submission.  
  • Upload or attach all files  of supporting documents, images, or video. 
  • Upload or attach one photo of the nominee.

APPLICATION

Nominator Name

Nominee Name

Nominee Full Address

Check the boxes that apply to the nominee’s accomplishment categories.

Attach a write-up of 1000 words or less that clearly defines the selection criteria listed in the nomination preparation.

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Upload or attach a photo of the nominee.

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Upload or attach supporting documents, photos, and videos.

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LIABILITY & PUBLIC USE AGREEMENT:

Lynchburg Parks & Recreation has the right to use any images submitted to help promote the event. Accreditation will be given when possible, but Lynchburg Parks & Recreation is not responsible for omissions in any publication.   

I have read and understand the above statements. My signature below indicates I agree to the terms listed.

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